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26CLABQ4—the October 2026 Clinical Laboratory Fee Schedule (CLFS) files

The official CMS data behind Q4 2026 on this site—in effect October 1 – December 31, 2026. The quarterly lab fee schedule files (26CLABQ3, 25CLABQ4, …) carrying what Medicare allows for every clinical laboratory test it prices nationally—finished dollar amounts rather than RVUs—plus the rows CMS flags for MAC pricing instead.

Get the file from CMS Copy link

Direct download: 26clabq4.zip

SHA-256 of the file we ingested: d6d0de8539519cc52dd51faaff53e6fbc008d38a03c528b0e351658e31b688f3

Direct CMS links break when cms.gov reorganizes. The stable fallback is the official CMS Clinical Lab Fee Schedule files page.

Files inside this release Copy link

These are the member files we parsed, as recorded when we loaded them. Row counts and checksums let anyone verify our copy against CMS's.

File What it is Rows
PUF_CLFS_CY2026_Q4V1.csv
SHA-256 fcfec34526c4…
clfs 2,243

Files without a download link carry a descriptor column that isn't licensed for redistribution and couldn't be safely removed automatically. Their columns are documented below all the same, and CMS's own copy is one click up.

What the columns mean Copy link

CMS publishes these files with minimal documentation, and both the column names and their order drift between releases—which is why we parse by header name, never by position. Any column position shown here is the one we recorded when parsing this release.

Where this release is used on this site Copy link

These base units back the anesthesia payment estimates on our code pages. Ingested Sep 23, 2026. See how the whole process works in our methodology.