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The cost per reportable test is a very important number to small medical labs. Often, a sales representative will quote a certain “cost per test,” but these estimates often do not take into account overhead expenses such as maintaining the lab and paying employees. There are three types of costs to take into account: fixed costs, labor costs and variable costs. Adding these three up will help you to determine your true cost per test. Fixed costs and labor costs have specific formulae, but you will need to assess and determine variable costs yourself.