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…

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.MEDICARE_CLINICAL_LABORATORY_FEE_SCHEDULE_PRIVATE_PAYER_RATES_AND_VOLUMES on Snowflake and Databricks — two snapshot releases spanning 2018–2018, aligned to a single schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it.

Key facts

Snowflake	DWV.MEDICARE_CLINICAL_LABORATORY_FEE_SCHEDULE_PRIVATE_PAYER_RATES_AND_VOLUMES
Databricks	cms_dwv.medicare_clinical_laboratory_fee_schedule_private_payer_rates_and_volumes
Coverage	Jan 2018 – Dec 2018
Cadence	Annual
Update pattern	Full-refresh — each file replaces the prior snapshot
CMS published	2024-01-05
Loaded	2025-10-18
Columns	3 data + 6 lineage
Identifiers	HCPCS codes
File versions	2
License	CMS public data — U.S. Government work
Platforms	Snowflake Marketplace · Databricks Delta Sharing

Included in the CMS Data Feeds Dataset — start a free trial on Snowflake Marketplace.

Last CMS publication 2024-01-05 — awaiting the next release. New files load automatically when CMS publishes.

Full-refresh feed — each file version is a complete snapshot and newer files supersede older ones. Filter to the latest file (see the sample query) to avoid double-counting across versions.

Sample queries

Snowflake

-- Latest snapshot only (avoids double-counting across file versions)
SELECT *
FROM DWV.MEDICARE_CLINICAL_LABORATORY_FEE_SCHEDULE_PRIVATE_PAYER_RATES_AND_VOLUMES
WHERE FILE_ID IN (
  SELECT ID FROM DWV.FEEDS_FILES WHERE IS_LATEST = 1
)
LIMIT 100;

Databricks

About this feed

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.

— Source: CMS feed metadata

Keywords: Medicare, Hospitals & Facilities, Outpatient Facilities, Clinics Theme: Medicare

Coverage timeline

2018 🟩

1 of 1 years with snapshot releases — no gaps.

Release history

Reporting period	CMS published	Loaded	Latest file
Snapshot as of 2024-01-05	2024-01-05	2025-10-18	✓
Snapshot as of 2021-12-21	2021-12-21	2023-08-29

Data dictionary

📋 3 data columns + 6 lineage columns

Column-level definitions are maintained by CMS in the official Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes data dictionary.

Data columns

Column	Type
HCPCS_CD	TEXT
PRICE_AMT	NUMBER
VOL_TXT	NUMBER

Lineage columns (present on every feed table)

Column	Type	Description
ROW_ID	TEXT	Unique row ID for this table (PK)
FILE_ID	TEXT	Source file — joins to FEEDS_FILES.ID (FK)
FILE_FEED_ID	TEXT	Parent feed — joins to FEEDS.ID (FK)
FILE_NAME	TEXT	Source file name as published by CMS
ROWNUM	NUMBER	Row number within the source file
CREATED_AT	TIMESTAMP_NTZ	Timestamp when the record was loaded

Row-level lineage

Every row in this table traces to the exact CMS source file that produced it. The FILE_ID column joins to the FEEDS_FILES catalog table, and FILE_FEED_ID joins to the FEEDS master table:

Trace any row back to its source file and reporting period:

SELECT d.HCPCS_CD, d.PRICE_AMT, d.VOL_TXT,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.MEDICARE_CLINICAL_LABORATORY_FEE_SCHEDULE_PRIVATE_PAYER_RATES_AND_VOLUMES d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID;

Source & provenance

Published by the Centers for Medicare & Medicaid Services (bureau 009:38).

• Official CMS data dictionary

• Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes Methodology

Frequently asked questions

How often is Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes updated?

Annually. CMS last published this feed on 2024-01-05, and Dataplex loaded it to the warehouse on 2025-10-18. New releases are added automatically when CMS publishes them.

What years does Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes cover?

2018 through 2018.

How many records are in Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes?

Count the current snapshot yourself once the share is mounted:

SELECT COUNT(*)
FROM DWV.MEDICARE_CLINICAL_LABORATORY_FEE_SCHEDULE_PRIVATE_PAYER_RATES_AND_VOLUMES d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID
WHERE ff.IS_LATEST = 1;

How do I get Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes data?

It's included in the CMS Data Feeds Dataset on the Snowflake Marketplace (free trial available) and via Databricks Delta Sharing. Once mounted, query DWV.MEDICARE_CLINICAL_LABORATORY_FEE_SCHEDULE_PRIVATE_PAYER_RATES_AND_VOLUMES directly — no pipeline setup required.

Related feeds

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Get this feed

1. Start a free trial on Snowflake Marketplace or purchase via Databricks

2. Mount the share — the database and DWV schema appear in your account immediately

3. Run the sample query above — no ETL, no pipeline maintenance

Questions about this feed? Contact us at [e-mail].

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