CMS July 2026 Medicare Part B Payment Limit Files

Contract version 20260630204922-37083479faae

Detected: 2026-06-30T20:49:22+00:00
Source updated: unknown
Rows: 890

Source Files For 20260630204922-37083479faae

july-2026-medicare-part-b-payment-limit-files.zip: source
section 508 version of July 2026 Medicare Part B Payment Limit File 061626.csv: source

Sample Rows

HCPCS Code	Short Description	HCPCS Code Dosage	Payment Limit	Co-insurance Percentage	Vaccine AWP%	Vaccine Limit	Notes
90371	Hep b ig im	1 ML	136.952	20.0
90375	Rabies ig im/sc	150 IU	281.185	20.0
90377	Rabies ig ht&sol human im/sc	150 IU	243.198	20.0
90632	Hepa vaccine adult im	1 ML	75.735	20.0
90653	Iiv adjuvant vaccine im	0.5 ML	98.16	0.0	95	98.16	see the Seasonal Influenza Vaccines Pricing webpage for current payment limits and effective dates

Open Data Contract YAML

Open raw YAML

dataset_id: cms-asp-july-2026-payment-limit-files
title: CMS July 2026 Medicare Part B Payment Limit Files
description: CMS July 2026 Medicare Part B Payment Limit Files discovered from cms.gov.
source_name: cms.gov
source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
update_frequency: monthly
next_scan_at: '2026-07-01T20:49:22.129558+00:00'
tags:
- cms.gov
revisions:
- revision_id: 20260630204922-37083479faae
  detected_at: '2026-06-30T20:49:22+00:00'
  source_updated_at: null
  context: section 508 version of July 2026 Medicare Part B Payment Limit File 061626.csv
    detected from july-2026-medicare-part-b-payment-limit-files.zip.
  assets:
  - asset_id: asset-d475e2a7b0e87dd6
    name: july-2026-medicare-part-b-payment-limit-files.zip
    source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
    media_type: application/zip
    content_hash: d475e2a7b0e87dd635a8dc3fdf6d72200fbc6dcfc46e7e8a3931d96a4d643797
    size_bytes: 83139
    parent_archive_id: null
  - asset_id: asset-c73883dbddb5e5eb
    name: section 508 version of July 2026 Medicare Part B Payment Limit File 061626.csv
    source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
    media_type: text/csv
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    size_bytes: 62434
    parent_archive_id: asset-d475e2a7b0e87dd6
  row_count: 890
  headers:
  - HCPCS Code
  - Short Description
  - HCPCS Code Dosage
  - Payment Limit
  - Co-insurance Percentage
  - Vaccine AWP%
  - Vaccine Limit
  - Blood AWP%
  - Blood limit
  - Clotting Factor
  - Notes
  sample_rows:
  - HCPCS Code: 90371
    Short Description: Hep b ig im
    HCPCS Code Dosage: 1 ML
    Payment Limit: 136.952
    Co-insurance Percentage: 20.0
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90375
    Short Description: Rabies ig im/sc
    HCPCS Code Dosage: 150 IU
    Payment Limit: 281.185
    Co-insurance Percentage: 20.0
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90377
    Short Description: Rabies ig ht&sol human im/sc
    HCPCS Code Dosage: 150 IU
    Payment Limit: 243.198
    Co-insurance Percentage: 20.0
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90632
    Short Description: Hepa vaccine adult im
    HCPCS Code Dosage: 1 ML
    Payment Limit: 75.735
    Co-insurance Percentage: 20.0
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90653
    Short Description: Iiv adjuvant vaccine im
    HCPCS Code Dosage: 0.5 ML
    Payment Limit: 98.16
    Co-insurance Percentage: 0.0
    Vaccine AWP%: 95
    Vaccine Limit: 98.16
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: see the Seasonal Influenza Vaccines Pricing webpage for current payment
      limits and effective dates
  parser_errors: []
related_dataset_ids: []
quality:
  score: 100
  parsing_errors: []
  stale_warning: null
  broken_source_report: null
rss_feed_url: null
odc_version: 0.1