If you look at their methodology, it says they use county level data for childcare costs. That can definitely understate rates in core urban areas, depending on

If you look at their methodology, it says they use county level data for childcare costs. That can definitely understate rates in core urban areas, depending on the county limits. Also, a lot of the data is at least a few years old now. And the new data that is made available has a fat asterisk on it, if it is from the feds.