Home / Catalog / Medicare FFS rates & utilization

Medicare FFS rates & utilizationSource-backed product

Medicare Clinical Laboratory Fee Schedule (CLFS)

Medicare laboratory payment rates together with the private-payer rate and volume evidence used for PAMA-based rate setting.

What Vlada adds: Preserves the publisher data, normalizes schema eras and identifiers, and connects the product to compatible healthcare entities with measured join coverage.

rows
969.1K
rows
datasets
2
datasets
cadence
derived / annual
cadence
coverage
2005-2026
coverage

Publishers: Centers for Medicare & Medicaid Services

What's inside

Medicare CLFS Private Payer Rates and Volumes (PAMA)
The PAMA "applicable information" — private-payer rates and volumes labs report to CMS, per HCPCS.
grain: One row per reported (collection_year, row_seq) private-payer rate/volume observation, keyed to HCPCS.
967.1K rows
Medicare CLFS (Clinical Laboratory Fee Schedule)
Medicare Clinical Laboratory Fee Schedule — the benchmark for LAB tests (national_limit_amount).
grain: One row per (hcpcs_code, calendar_year, quarter) — CLFS national_limit_amount. CERTIFIED 2026-06-03.
2.0K rows