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Where does the price data in the tool come from?

The prices in Shop for Care come from billing data that private health insurance companies submit to the Colorado All-Payer Claims Database (CO APCD). The database includes claims from Medicare and Medicaid, but the Shop for Care tool has only claims paid by private insurance companies. People with high-deductible plans or no insurance are more likely to pay rates similar to private insurance rather than Medicare or Medicaid rates.

 

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