Overview
During the 2022 Colorado legislative session, Senate Bill 22-068 was passed to increase health care payment transparency. The bill requests CIVHC, administrator of the Colorado All Payer Claims Database (CO APCD), to create a public report that displays payments made to Colorado health care providers for CPT (Current Procedural Terminology) codes and HCPCS (Healthcare Common Procedure Coding System) codes by county, Division of Insurance (DOI) Region, and statewide. The report includes the following:
- All current (effective in 2021) CPT codes and HCPCS with sufficient volume (statewide claim volume of 30 or more) for 2018-2024.
- Payer breakouts for Commercial, Medicaid, Medicare Advantage, and Medicare Fee-for-Service.
- Total allowed amounts (payer and patient payments combined) at the 25th, 50th, 60th, and 75th percentile, and average total allowed amounts.
- Anesthesiology payment calculations (see below for details).
View Senate Bill 22-068 for more information.