Medical payment rate

CMS quarterly ASC Fee Schedule and Drug File addenda, publishing covered surgical procedures and ancillary services with HCPCS codes, payment indicators, discounting status, and payment rates. The July 2026 ZIP contains Addenda AA, BB, DD1, DD2, EE, and FF as XLSX and accessible CSV components and was updated July 13, 2026.

Commercial analytics-ready healthcare pricing dataset combining payer and hospital transparency files, claims benchmarks, Medicare fee schedules, and reference data. Turquoise normalizes coding and rate structures, exposes source/logic traceability, and offers the same Clear Rates product through its platform, API, Trino/Snowflake/Databricks, and scheduled S3/SFTP files.

Standing governmental full-file publication for California workers' compensation medical payment. One OMFS product covers ambulance, DMEPOS, inpatient hospital, hospital outpatient/ASC, pathology/laboratory, pharmaceuticals, and physician/non-physician services.

Commercial online subscription for buyer-selected CPT, CDT, and HCPCS code analysis. It supplies local GeoZip-based physician charge data, national HCPCS charge data, multiple charge percentiles, current Medicare fees, and selectable locality/facility context; Optum sells access by phone/quote without a contribution requirement.

Separately identified FH Allowed Benchmark module reporting plan-allowed amounts for professional medical services by CPT code and FAIR Health geozip. Licensed module files and FH Online lookup access are represented as delivery modes of this Source.

Standing annual Florida workers' compensation Health Care Provider Fee Schedule download. The official landing page lists 2024, 2025, and 2026 editions with effective dates; access to each file is gated only by an AMA CPT end-user click-through license for eligible organizations participating in Florida DWC programs.

CMS quarterly OPPS Addenda A, B, and Q public files. CMS defines A and B as snapshots, effective at the beginning of each quarter, of HCPCS codes, status indicators, APC groups, and OPPS payment rates.

Quarterly CMS public-use files for the Medicare Clinical Laboratory Fee Schedule. The current CY 2026 Q3 V1 release contains 2,206 records and publishes row-level calendar year, HCPCS, modifier, effective date, national/local pricing indicator, and payment rate in CSV, TXT, and XLSX formats.

CMS quarterly-as-necessary full replacement public-use files for Durable Medical Equipment, Prosthetics, Orthotics and Supplies. The July 2026 release supplies a normalized text record per HCPCS/modifier/state combination as well as wide CSV/XLSX tables, with jurisdiction, category, rural status, fee amount, floor, ceiling, and change metadata.

Commercial Context4 Medicare pricing reference data available in the cloud through a real-time web service. Current product documentation names Medicare carrier/ZIP cross-reference, RBRVS, Ambulance, Ambulatory Surgical Center, Clinical Laboratory, DMEPOS, Physician Fee Schedule, Part B Drug ASP, and a broader set of Medicare Prospective Payment System data families.

Official New York workers' compensation specialty fee schedules. The Board states that Medical, Acupuncture/PT/OT, Behavioral Health, Chiropractic, and Podiatry schedules may be purchased from RefMed, whose standing purchase channel offers data-file downloads as well as eBooks and printed booklets.

Open annual Washington L&I XLSX/XLSM full schedule and code-lookup workbook for professional services. The 2026 workbook includes a complete fee-schedule sheet, effective-date column, CPT-through-local service codes, modifier field, facility and non-facility fee values, payment indicators, prior-authorization indicator, field-key sheets, and updates/corrections.