data.cms.gov

Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes

The Medicare Clinical Laboratory Fee Schedule (CLFS) dataset provides raw data reported by any applicable laboratories that reported a volume greater than 10 tests for the data collection period.

Freshness

Last posted
Period covered
Jan 1, 2018 to Dec 31, 2018
Update frequency
Annually

Dates as CMS lists them in its catalog.

Columns 3

ColumnWhat it meansType
HCPCS Codehcpcs_cdstring
Payment RatePRICE_AMTPayment Rate of HCPCS codenumber
VolumeVOL_TXTVolume of total tests for each Payment rate performed during data collection periodnumber

At a glance

Catalog
data.cms.gov
Publisher
Office of Enterprise Data and Analytics (OEDA)
Rows
967,129
Columns
3
State column
None found
Topics
Other facilities and suppliers, Hospitals
Contact
CLFS_Inquiries@cms.hhs.gov

API

Free, no key needed. This request returns the first 10 rows as JSON:

https://data.cms.gov/data-api/v1/dataset/0e57f57d-0acc-4c9c-8f8c-973e3f4a3c4b/data?size=10

CMS's description

The Medicare Clinical Laboratory Fee Schedule (CLFS) dataset provides raw data reported by any applicable laboratories that reported a volume greater than 10 tests for the data collection period. As described by the Protecting Access to Medicare Act, Applicable Laboratories must report to CMS private payor rates and associated volumes for laboratory tests on the Clinical Laboratory Fee Schedule.

Methodology and other documents from CMS:

The summary at the top is the first sentence of this description. Record id cms:0e57f57d-0acc-4c9c-8f8c-973e3f4a3c4b. This record as JSON.

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