GVR Report cover U.S. Ambulatory Surgery Centers Market Size, Share & Trends Report

U.S. Ambulatory Surgery Centers Market Size, Share & Trends Analysis Report By Application (Orthopedics, Pain Management/Spinal Injections), By Ownership, By Center Type, By Region And Segment Forecasts, 2022 - 2030

  • Report ID: GVR-4-68039-920-7
  • Number of Pages: 66
  • Format: Electronic (PDF)
  • Historical Range: 2017 - 2020
  • Industry: Healthcare

Report Overview

The U.S. ambulatory surgery centers market was valued at USD 34.8 billion in 2021 and is expected to expand at a CAGR of 6.0% from 2022 to 2030. The low expenditure as compared to hospitals, favorable reimbursement scenarios, and reduce risk of infection are key drivers for the U.S. market. The increasing demand for multispecialty ambulatory surgery centers is likely to drive the market growth during the forecast period.

U.S. ambulatory surgery centers market size, 2020 - 2030 (USD Billion)

Services at ambulatory surgery centers are reimbursed in the U.S. by Medicare in accordance with the policy issued by the Center for Medicare & Medicaid Services. According to CMS, the ASC payment group is assigned in the U.S. for deciding payment rates for services at ambulatory surgery centers. In addition to reimbursement for services, CMS has a value-based purchasing program for these centers to provide reimbursement to providers based on patient outcomes.

The U.S. government is considering the role of ASCs as an important aspect of healthcare and is undertaking initiatives to ensure proper reimbursement, fueling the market growth. For instance, in January 2022, CMS made changes to eligibility for Medicare reimbursement by removing criteria of compulsory inpatient procedure at ambulatory surgery centers, allowing reimbursement for outpatient services.

COVID-19 U.S. ambulatory surgery centers market impact: 34.6% increase from 2020 to 2021

Pandemic Impact

Post COVID Outlook

The majority of the ambulatory surgery centers were completely shut down during the first phase of the pandemic. In response to the pandemic, the U.S. government introduced guidelines for ambulatory surgery centers. In March 2020, the Center for Medicare & Medicaid services recommended complete restriction on nonessential surgery. This resulted in huge financial losses for ambulatory surgery centers

In the later phases of the pandemic, there was a positive impact on the demand for ambulatory surgery centers. Patients preferred ambulatory surgery centers due to the lower risk of infection and lower cost of surgery compared to hospitals. According to National Medical Billing Services, 60% of the surgeries in the U.S. since 2020 are being performed at ambulatory surgery centers. Ambulatory surgery centers played a vital role in the later phases of the pandemic.

Some of the highly impacted surgical specialties in the ASCs were pediatric otolaryngology, ophthalmology, and gastroenterology. However, during the second half of 2020, with the reduction in COVID-19 restrictions, ASC operations resumed and demand for non-emergent surgical procedures increased significantly.

The demand for ambulatory surgery centers is increasing, resulting in them being an attractive buy for hospitals. As per the Ambulatory Surgery Center Association, hospitals are interested in ownership of 23% of ambulatory centers & completely own 2% of ambulatory surgery centers in the U.S. Hospitals are also collaborating with ambulatory surgery centers.


Ambulatory surgery centers are highly regulated healthcare settings. They are regulated by the Ambulatory Surgery Center Association. Regulations for ambulatory surgery centers vary from state to state. According to a report by the American College of Foot and Ankle Surgeons, 46 states require licensing for ambulatory surgery centers, wherein each state has different eligibility criteria, with 28 of these states requiring a third-party accreditation. There is a requirement for a certificate of need in 25 states, wherein ASC must demonstrate the need for new services & construction. Each state has an operation manual for ambulatory surgery centers.

Surgeries performed in an ASC setting are short, with faster recovery and low infection rates when compared to hospitals. According to a study published in the Journal of Bone & Joint Surgery, surgeries performed in the ASCs have lower chances of infection, such as pneumonia, UTI, & blood clots, and the requirement of blood transfusion is rare when compared to surgeries in a hospital setting. In another research conducted by Elizabeth Munich and Stephen Parente, it was stated that for the same procedure, the time spent by a patient in an ASC is 25% to 30% lower than in a hospital outpatient department. In addition, ASC patients are less likely to visit the hospital just after few days after the surgery.

Application Insights

The orthopedics segment held the market share in 2021 attributed to the addition of new procedures under ASC coverage. In addition, improving diagnostic methods & imaging technologies in orthopedic surgeries, the introduction of new products, a rise in the number of acquisitions, and favorable reimbursement scenarios are likely to boost the market. However, the otolaryngology segment is expected to register the fastest growth over the forecast period.

U.S. ambulatory surgery centers market share, by application, 2021 (%)

Orthopedic surgery is the most performed procedure in multispecialty ASCs. Around 68% of the total orthopedic procedures are performed in multispecialty ASCs. According to the Becker ASC Review, ASCs account for about 68% of the orthopedic surgeries conducted in the U.S. With the addition of more complex procedures like total hip replacement under ASC coverage by CMS, the demand for orthopedic surgery in the ASC setting is expected to increase. In November 2019, the first total hip replacement surgery was performed at Capital Region Ambulatory Surgery Center, Albany.

Key Companies & Market Share Insights

The market is fragmented, with the presence of several large and small players. UnitedHealth Group, Tenet Healthcare Corporation, Community Health Systems, Inc., and Surgery Partners are leading players in the market in terms of overall revenue. The leading position of these companies can be attributed to the presence of a skilled workforce, a high number of facilities across the U.S., and a strong service portfolio.

Major players are undertaking several strategic initiatives, such as service portfolio expansions, partnership agreements, and mergers & acquisitions, to increase their market share. For instance, in December 2021, Tenet Healthcare Corporation, along with its subsidiary United Surgical Partners International, acquired SurgCenter. The company gained ownership of 86 ambulatory surgery centers through this acquisition.

Some of the prominent players in the U.S. ambulatory surgery centers market include:

  • Envision Healthcare Corporation

  • Tenet Healthcare Corporation

  • Mednax Services, Inc.

  • TeamHealth

  • UnitedHealth Group

  • Quorum Health

  • Surgery Partners

  • Community Health Systems, Inc.

  • SurgCenter

  • Prospect Medical Systems

  • Edward-Elmhurst Health 

U.S. Ambulatory Surgery Centers Market Report Scope

Report Attribute


The market size value in 2022

USD 36.8 billion

The revenue forecast in 2030

USD 58.6 billion

Growth rate

CAGR of 6.0% from 2022 to 2030

The base year for estimation


Historical data

2017 - 2020

Forecast period

2022 - 2030

Quantitative units

Revenue in USD billion and CAGR from 2022 to 2030

Report coverage

Revenue forecast, company ranking, competitive landscape, growth factors, and trends

Segments covered

Application, Ownership, Center Type

Regional scope

Northeast; Southeast; Southwest; Midwest; West

Key companies profiled

Envision Healthcare Corporation; Tenet Healthcare Corporation; Mednax Services, Inc.

TeamHealth; UnitedHealth Group; Quorum Health; Surgery Partners; Community Health Systems, Inc.; SurgCenter; Prospect Medical Systems; Edward-Elmhurst Health

Customization scope

Free report customization (equivalent to up to 8 analysts working days) with purchase. Addition or alteration to country, regional & segment scope.

Pricing and purchase options

Avail customized purchase options to meet your exact research needs. Explore purchase options


Segments Covered in the Report

This report forecasts revenue growth at country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2017 to 2030. For this study, Grand View Research has segmented the U.S. ambulatory surgery centers market report based on application, ownership, center type and region:

  • Application Outlook (Revenue, USD Million, 2017 - 2030)

    • Orthopedics

    • Pain management/spinal injections

    • Gastroenterology

    • Ophthalmology

    • Plastic surgery

    • Otolaryngology

    • Obstetrics/gynecology

    • Dental

    • Podiatry

    • Others

  • Ownership Outlook (Revenue, USD Million, 2017 - 2030)

    • Physician Owned

    • Hospital Owned

    • Corporate Owned

  • Center Type Outlook (Revenue, USD Million, 2017 - 2030)

    • Single-Specialty

    • Multi-Specialty

  • Region Outlook (Revenue, USD Billion, 2017 - 2030)

    • Northeast

    • Southeast

    • Southwest

    • Midwest

    • West

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