Quest and Labcorp didnt bat an eye when I asked for them to pay the fee. Its a one-time $250---much much less than with other EMRs, which is why they didnt mind. Sounds like a change in mgmt. Also, they have been losing business to small, regional labs. I use one for uninsured patients. I want to send them more, but they wanted me to guarentee a certain amount of business. Frankly, at a onetime $250 fee, thats just the cost of them getting into your stadium. Other emrs are much more expensive and its an annual, not one-time, fee.