`medicare_lab_rate`

Pack: medicare-pricing · Endpoint: https://gateway.pipeworx.io/medicare-pricing/mcp

What 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.

Parameters

Name	Type	Required	Description
`code`	string	yes	Lab HCPCS/CPT code, e.g. “80053” (comprehensive metabolic panel) or “85025” (complete blood count).
`year`	number	no	Schedule year. Omit for the newest loaded, which is stated in the response.

Example call

Arguments

{
  "code": "80053"
}

curl

curl -X POST https://gateway.pipeworx.io/medicare-pricing/mcp \
  -H 'Content-Type: application/json' \
  -d '{"jsonrpc":"2.0","id":1,"method":"tools/call","params":{"name":"medicare_lab_rate","arguments":{"code":"80053"}}}'

TypeScript (@pipeworx/sdk)

import { Pipeworx } from '@pipeworx/sdk';
const pipeworx = new Pipeworx();

const result = await pipeworx.call('medicare_lab_rate', {
  "code": "80053"
});

Connect

Add this to your MCP client config, or use one-click install buttons:

{
  "mcpServers": {
    "medicare-pricing": {
      "url": "https://gateway.pipeworx.io/medicare-pricing/mcp"
    }
  }
}

See Getting Started for client-specific install steps.

medicare_lab_rate