Medicare Lab Rate
medicare_lab_rateWhat does Medicare pay for a laboratory test? Returns the national Clinical Laboratory Fee Schedule rate for a lab HCPCS/CPT code — lab tests are paid from their own national fee schedule rather than the physician schedule, so there is one rate and no locality adjustment. Answers "how much does Medicare pay for a comprehensive metabolic panel", "CLFS rate for 80053", "what does a lipid panel reimburse". States the year and quarter of the schedule used, since lab rates are republished quarterly. Sourced from the CMS Clinical Laboratory Fee Schedule.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| code | Yes | Lab HCPCS/CPT code, e.g. "80053" (comprehensive metabolic panel) or "85025" (complete blood count). | |
| year | No | Schedule year. Omit for the newest loaded, which is stated in the response. |