Free-standing emergency rooms, provider rates in rural parts of the state and opportunistic drug pricing are contributing to the rising costs of health care in Colorado, a state commission argued in its third report in as many years.

The Colorado Commission on Affordable Health Care said there are a multitude of things impacting health care costs. As a result, the state needs a multi-faceted approach to adequately address them.

The report, the commission’s last, focuses greatly on the high cost of health care in rural parts of the state. On that issue, the panel recommends such things as more widely publicizing what providers are charging not only so patients can better shop for care, but also so providers can know what their competitors are charging.