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. 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.
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| accrualPeriodicity | R/P1Y |
| bureauCode |
[
"009:38"
]
|
| contactPoint |
{
"fn": "CLFS Inquires - CM",
"@type": "vcard:Contact",
"hasEmail": "mailto:CLFS_Inquiries@cms.hhs.gov"
}
|
| dataQuality |
true
|
| describedBy | https://data.cms.gov/resources/medicare-clinical-laboratory-fee-schedule-private-payer-rates-and-volumes-data-dictionary |
| 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. |
| distribution |
[
{
"@type": "dcat:Distribution",
"title": "Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes : 2018-12-31",
"mediaType": "text/html",
"description": "latest",
"downloadURL": "https://data.cms.gov/data-api/v1/dataset/0e57f57d-0acc-4c9c-8f8c-973e3f4a3c4b/data"
},
{
"@type": "dcat:Distribution",
"title": "Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes : 2018-12-31",
"mediaType": "text/html",
"downloadURL": "https://data.cms.gov/data-api/v1/dataset/1f39e9a2-5f75-4b39-831a-cff0a2096832/data"
},
{
"@type": "dcat:Distribution",
"title": "Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes : 2018-12-31",
"mediaType": "text/csv",
"downloadURL": "https://data.cms.gov/sites/default/files/2021-12/CLFS%20Applicable%20Information%202018%20Raw%20Data%20File-updated%2012152021.csv"
}
]
|
| identifier | https://data.cms.gov/data-api/v1/dataset/0e57f57d-0acc-4c9c-8f8c-973e3f4a3c4b/data-viewer |
| issued | 2025-12-09 |
| keyword |
[
"clinics",
"hospitals & facilities",
"medicare",
"outpatient facilities"
]
|
| landingPage | https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/medicare-clinical-laboratory-fee-schedule-private-payer-rates-and-volumes |
| language |
[
"en-US"
]
|
| license | https://www.usa.gov/government-works |
| modified | 2024-01-05 |
| programCode |
[
"009:000"
]
|
| publisher |
{
"name": "Centers for Medicare & Medicaid Services",
"@type": "org:Organization"
}
|
| references |
[
"https://data.cms.gov/resources/medicare-clinical-laboratory-fee-schedule-private-payer-rates-and-volumes-methodology"
]
|
| temporal | 2018-01-01/2018-12-31 |
| theme |
[
"Medicare"
]
|
| title | Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes |
