Medicare Advantage, Part D, Medicaid

Medicare CLFS preliminary CY2027 rates (PAMA weighted medians, raw vs trimmed, capped)

medicare_silver.fact_clfs_preliminary_rate·live·silver
Rows
1,924
Columns
20
History
N/A
Card
nocolumns only
Typed tools
0

What it is

  1. 1CMS's preliminary CY2027 Clinical Laboratory Fee Schedule per code: the 2026 CLFS rate, the raw and trimmed private-payor weighted medians, the percent change, the reporting-TIN count (withheld under 10), and the CY2027 rate after the 15% payment-reduction cap.
  2. 2Published 2026-09-21; comment window 30 days; final rates post November 2026 and supersede this edition.

Grain

KeyGrain
N/A
  1. 1One row per HCPCS code in CMS's preliminary CY2027 CLFS rate calculation file (rate_year, hcpcs_code).

Columns (20)

ColumnTypeMeaning
rate_yearint
collection_yearint
stagestring
hcpcs_codestring
descriptionstring
categorystring
rate_2026double
raw_weighted_mediandouble
raw_pct_changedouble
trimmed_weighted_mediandouble
trimmed_pct_changedouble
rate_2027_preliminarydouble
reporting_tins_textstring
observed_perioddate
asserted_atdate
source_urlstring
sha256_content_hashstring
source_idstring
is_currentboolean
vintage_tagstring

Query it

describe_data_source(source_fqn="medicare_silver.fact_clfs_preliminary_rate")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.fact_clfs_preliminary_rate WHERE <filter> LIMIT 100")
ItemValue
Typed tools that read itnone; raw SQL
Identity keyhcpcs_code
Joinhow_to_join(source_fqn="medicare_silver.fact_clfs_preliminary_rate")
Raw doorAthena (read-only via query_substrate): medicare_silver.fact_clfs_preliminary_rate
NoteIceberg, one edition (rate_year 2027, stage preliminary). Loaded 2026-09-22 by CTAS from the CMS HCPCS_Prelim_Wgt_Meds_Simple tab.

This page as markdown: /docs-md/data/medicare_silver_fact_clfs_preliminary_rate.md · every page in one file: /llms-full.txt