"Designing Growth Strategies is in our DNA"

U.S. Ambulatory Surgical Centers Market Size, Share & COVID-19 Impact Analysis, By Type of Center (Single-specialty and Multi-specialty), By Ownership (Physician-owned, Hospital-owned, and Corporate-owned), By Application (Diagnostic Services and Surgical Services), and Forecast, 2021-2028

Region : USA | Format: PDF | Report ID: FBI106323



Play Audio Listen to Audio Version

The U.S. ambulatory surgical centers market size was USD 34.73 billion in 2020 and is projected to grow from USD 36.96 billion in 2021 to USD 58.85 billion by 2028, at a CAGR of 6.9% in 2021-2028. Based on our analysis, the U.S. market exhibited a substandard growth of -5.7% in 2020 compared to the average year-on-year growth during 2017-2019. The COVID-19 pandemic negatively impacted the market due to the postponement and cancellation of most elective surgical procedures. The rise in CAGR is attributable to this market’s demand and growth, returning to pre-pandemic levels once the pandemic is over.  

Ambulatory surgical centers (ASCs) are modern outpatient healthcare facilities that provide same-day surgical services, including diagnostic and preventive services. These settings offer a convenient environment and cost-effective surgical services compared to most hospitals in the U.S. The typical specialties served in these settings include pain management, orthopedics, gastroenterology, ophthalmology, urology, and dermatology.

The market growth is mainly attributed to the increasing need for new solutions to cut down healthcare costs in the U.S. Moreover, the growing incidence of chronic diseases requiring surgeries is driving the market growth. In addition, rising investments and initiatives by governments and public health organizations, shifting preference of patients from hospitals to ambulatory surgical centers, and a favorable reimbursement scenario are propelling the market growth. The increasing number of ambulatory surgical centers over the last decade drives the market growth.

  • For instance, according to the Medicare Payment Advisory Commission, the number of surgical procedures in ambulatory centers has increased rapidly over the last decade. In 2018, it was found to be around 23.0 million, compared to 15.6 million in 2010.

  • According to the statistics by the Centers for Medicare & Medicaid Services (CMS), in 2020, the number of Medicare-certified ASCs in the U.S. was 5,935 compared to 5,105 in 2019.

Decline in Surgical Procedures amid COVID-19 to Hamper Market Growth  

The COVID-19 pandemic negatively impacted the market in 2020. Issues such as lack of workforce & staff, procedural prioritization, risk of transmission of COVID-19, and the limited number of surgical procedures across these healthcare settings posed as a roadblock for the market growth in 2020. These healthcare facilities across the U.S. witnessed a decline in the number of visits, thereby reducing the overall revenues generated in 2020. Moreover, operational restrictions such as mandates to stop or postpone elective surgeries during the COVID-19 pandemic negatively impacted the market.

  • For instance, in April 2020, the Centers for Medicare & Medicaid Services (CMS) announced recommendations for postponing non-essential surgeries and other procedures with the help of a tiered framework in collaboration with medical societies and associations.  

Additionally, factors including the risk of rapid spread of COVID-19 through public gatherings and the need for conserving personal protective equipment and mechanical ventilators led to the postponement of elective surgical procedures in 2020. However, patients from hospitals are expected to migrate rapidly to ambulatory settings post-COVID-19.


Request a Free sample to learn more about this report.

Strategic Initiatives to Boost the Market Growth

The companies operating in the U.S. ambulatory surgical centers market are constantly focusing on strategies such as mergers, acquisitions, and expansions to increase their revenue. For instance:

  • In December 2020, T.H. Medical announced the acquisition of 45 ambulatory surgery centers from SurgCenter, a key developer of physician-owned centers.

  • In April 2021, HCA Healthcare announced plans to open a new multi-specialty ASC, Willis Surgery Center, by 2022.  

Similarly, many market players are involved in developing new and innovative solutions in these healthcare settings are expected to boost the market growth.


Shifting Preference Toward ASCs to Augment Market Growth

The shift from surgical procedures in hospitals to ambulatory settings is driving the market growth. The number of surgical procedures in ambulatory surgical centers has seen a significant increase over the past decade. A large number of patients prefer these healthcare facilities for various surgeries, owing to factors such as shorter stays, innovative technologies, cost-effective surgical procedures, and fewer risks of infections.

  • For instance, according to the Medicare Payment Advisory Commission and VMG Health data, the outpatient surgical volume in ambulatory surgical centers has been increasing over the last decade. In 2019, approximately 60% of the outpatient surgical procedures were performed in ASCs compared to 48% in 2010.

Increasing government investments towards developing new ambulatory settings are expected to drive the market growth during the forecast period.

Positive Reimbursement Scenario to Boost Market Growth

The reimbursement is one of the critical drivers for market growth. Favorable reimbursement policies are increasing the focus of the Centers for Medicare & Medicaid Services (CMS) toward the extension of the list of surgical procedures that are allowed ASCs. Rising initiatives by commercial payers to encourage physicians to perform various surgical procedures in these facilities are expected to fuel the market in the upcoming years. Furthermore, CMS constantly focuses on reviewing the complications associated with the surgeries performed, thereby improving the patient’s safety who undergoes surgical procedures.

  • For instance, as per the recent blog by the Advisory Board, in September 2018, CMS planned to review 38 procedures such as spine surgery, lumbar, and cervical spinal fusions to determine if they are safely performed in ambulatory settings.

Such intense focus of payers towards the safety of surgical procedures in these healthcare facilities will attract a larger patient pool across the U.S. Thus, the favorable reimbursement scenario for procedures performed in ambulatory settings coupled with the increased focus on the safety of procedures is expected to propel the market growth in the future.


Disadvantages Associated With ASCs to Limit the Market Growth

A significant percentage of the patient population in the U.S. has preferred outpatient surgery centers for surgical procedures over the past decade. However, several disadvantages of ASCs are expected to limit the market growth during the forecast timeframe. These disadvantages include lack of overnight facilities, complications & emergencies during certain surgical procedures, and no plans for contingencies. Difficulties or complications during some surgical procedures may even require the transfer of patients from ambulatory surgical centers to nearby hospitals. Thus, some of the patients prefer hospitals for surgical procedures.

  • For instance, as per a research article published by the National Center for Biotechnology Information (NCBI) in 2017, the rate of complications & adverse events of orthopedic surgeries at ASCs was between 0.05% and 20.0%.

The common complications during surgical procedures include pain & nausea, impaired healing, and infections. These disadvantages could hamper the market growth during the forecast period. 


By Type of Center Analysis

To know how our report can help streamline your business, Speak to Analyst

Strong Presence of Single-specialty Ambulatory Surgical Centers to Drive the Single-specialty Segment During 2021-2028

Based on type of center, the market is segmented into single-specialty and multi-specialty.

The single-specialty segment dominated the U.S. market in 2020 and is anticipated to continue to show similar trends during the forecast period. The dominance of the single-specialty settings is attributed to the growing incidence & prevalence of ophthalmic disorders and the strong presence of single-specialty ambulatory surgical centers in the U.S.

  • According to the recently published data by the Medicare Payment Advisory Commission, in 2019, the number of single-specialty ambulatory surgical centers in the U.S. was more than 3,300.

The multi-specialty segment is projected to expand at a substantial CAGR during the forecast period. The surging number of surgical procedures related to ophthalmology, gastroenterology, and pain management are expected to boost the revenue of multi-specialty settings in the coming years.

By Ownership Analysis

Several Advantages of Physician-owned Centers to Boost the Physician-owned Segment During the Forecast Period

Based on ownership, the market is segmented into physician-owned, hospital-owned, and corporate-owned.

The physician-owned segment accounted for the largest market share in 2020 and is expected to expand at a substantial CAGR during the forecast period. Physician-owned ambulatory settings are the most common as doctors own 100% equity in these centers. The large share of this segment is also attributed to factors such as physicians’ convenience in scheduling surgical procedures, leading to increased preference for this type of ownership by in the U.S.

The hospital-owned segment is held the second-highest market share in 2020 and is projected to expand at a significant CAGR during the forecast period. Increasing employment of physician-owned practices by hospital-owned practices is expected to increase the revenue of hospital-owned centers in the future.

The corporate-owned segment is anticipated to expand at the highest CAGR during the 2021-2028. The high growth rate of this segment is attributed to the increasing focus of management companies and physicians toward the formation of a common joint venture. This ownership model is expected to boost the revenue of corporate-owned centers in the coming years as partnerships between corporate firms and physicians continue to emerge.

By Application Analysis

Increasing Number of Surgeries across the U.S. to Contribute to the Dominance of Surgical Services Segment during the Forecast Period

Based on application, the market is segmented into surgical services and diagnostic services.

The surgical services segment dominated the market in 2020 and is expected to expand at the highest CAGR during the forecast timeframe. This segment's large share and high growth rate are attributed to the increasing number of surgical procedures in ambulatory settings. These procedures majorly include surgeries related to ophthalmology, gastroenterology, pain management, and orthopedics.

  • For instance, according to the Medicare Payment Advisory Commission, in 2019, cataract surgery accounted for around 18.5% of the total surgical procedures performed in ASCs in the U.S.

The diagnostics services segment is estimated to expand at a moderate CAGR during the forecast period. The growth of this segment is attributed to increasing patient population availing various diagnostic services which primarily include diagnostic colonoscopy and colorectal screening.  


Companies with Largest Chains to Hold Key Market Share

This market is highly fragmented due to the presence of many companies offering ambulatory surgery services in the U.S. However, several key players, such as T.H. Medical, Surgery Partners, AMSURG (Kohlberg Kravis Roberts & Co. L.P.), SurgCenter, and Surgical Care Affiliates, held one-fourth of the market share in 2020. 

AMSURG (Kohlberg Kravis Roberts & Co. L.P.) dominated the market in 2020. Its dominance is due to the large number of ambulatory surgery centers owned and operated by the company. For instance, according to the recently published data by Becker’s ASC Review, in 2021, AmSurg (Kohlberg Kravis Roberts & Co. L.P.) owns and operates more than 250 ambulatory surgical centers.

Other companies, such as Constitution Surgery Alliance, ASD Management, and Medical Facilities Corporation, held substantial market shares due to their strong presence in the U.S. and the number of centers owned by them. Furthermore, strategic initiatives, such as mergers and acquisitions, are expected to increase their market share in the coming years.   


  • AMSURG (Kohlberg Kravis Roberts & Co. L.P.) (Nashville, U.S.)

  • T.H. Medical (Dallas, U.S.)

  • Surgery Partners (Nashville, U.S.)

  • SurgCenter (Towson, U.S.)

  • Surgical Care Affiliates (Deerfield, U.S.)

  • HCA Healthcare (Nashville, U.S.)

  • Physicians Endoscopy, LLC (Jamison, U.S.)

  • Covenant Physician Partners, Inc. (Nashville, U.S.)

  • Constitution Surgery Alliance (Avon, U.S.)

  • ASD Management (Dallas, U.S.)

  • Medical Facilities Corporation (Toronto, Canada)


  • January 2021 – T.H. Medical announced plans to acquire up to 25 to 40 surgery centers in 2021. The company plans to spend an estimated USD 150 million on the acquisition of these surgery centers.

  • January 2018 – Medical Facilities Corporation announced an agreement with NueHealth LLC to form a joint venture and acquire seven ambulatory surgical centers from Meridian Surgical Partners of Brentwood.


An Infographic Representation of U.S. Ambulatory Surgical Centers Market

To get information on various segments, share your queries with us

The U.S. ambulatory surgical centers market research report provides a detailed industry analysis. It focuses on key aspects, such as leading companies, type of centers, ownerships, and application. Besides this, it offers insights into the market trends and highlights key industry developments. In addition to the factors mentioned above, the report includes the number of ambulatory surgery centers by key states, an overview of top surgical procedures, comparative analysis of average price & cost of selective procedures, company market share analysis in competitive landscape, and COVID-19 impact analysis on the market.

Report Scope & Segmentation



Study Period


Base Year


Estimated Year


Forecast Period


Historical Period



Value (USD Billion)


By Type of Center

  • Single-specialty

  • Multi-specialty

By Ownership

  • Physician-owned

  • Hospital-owned

  • Corporate-owned

By Application

  • Diagnostic Services

  • Surgical Services

By Region

  • West U.S.

  • South U.S.

  • Middle West U.S.

  • Northeast U.S.

Frequently Asked Questions

Fortune Business Insights says that the U.S. market stood at USD 34.73 billion in 2020 and is projected to reach USD 58.85 billion by 2028.

The market is expected to exhibit steady growth at a CAGR of 6.9% during the forecast period (2021-2028).

Considering the type of center, the single-specialty segment is set to lead the market.

Factors such as the increasing shift from hospitals to ASCs for surgical procedures, presence of reimbursement policies, increasing investments, and rising prevalence of various diseases related to ophthalmology, gastroenterology, pain management, and orthopedics are driving the market.

T.H. Medical, Surgery Partners, AMSURG (Kohlberg Kravis Roberts & Co. L.P.), SurgCenter, and Surgical Care Affiliates are some of the top players in the market.

Seeking Comprehensive Intelligence on Different Markets?
Get in Touch with Our Experts

Speak to an Expert
  • Feb, 2022
  • 2020
  • 2017-2019
  • 77


  • $2850

Personalize this Research

  • Granular Research on Specified Regions or Segments
  • Companies Profiled based on User Requirement
  • Broader Insights Pertaining to a Specific Segment or Region
  • Breaking Down Competitive Landscape as per Your Requirement
  • Other Specific Requirement on Customization
Request Customization Banner

Client Testimonials

“This report is really well done and we really appreciate it! Again, I may have questions as we dig in deeper. Thanks again for some really good work.”

- U.S.-based biotechnology company focussing on treatment of chronic pain.

“Kudos to your team. Thank you very much for your support and agility to answer our questions.”

- Europe-based provider of solutions to automate data centre operations.

“We appreciate you and your team taking out time to share the report and data file with us, and we are grateful for the flexibility provided to modify the document as per request. This does help us in our business decision making. We would be pleased to work with you again, and hope to continue our business relationship long into the future.”

- India-based manufacturer of industrial and specialty intermediates with a strong global presence.

“I want to first congratulate you on the great work done on the Medical Platforms project. Thank you so much for all your efforts.”

- One of the largest cosmetics company in the world.

“Thank you very much. I really appreciate the work your team has done. I feel very comfortable recommending your services to some of the other startups that I’m working with, and will likely establish a good long partnership with you.”

- U.S. based startup operating in the cultivated meat market.

“We received the below report on the U.S. market from you. We were very satisfied with the report.”

- UGlobal hearing aids manufacturer.

“I just finished my first pass-through of the report. Great work! Thank you!”

- U.S. based solar racking solutions provider.

“Thanks again for the great work on our last partnership. We are ramping up a new project to understand the imaging and imaging service and distribution market in the U.S.”

- World’s leading advisory firm.

“We feel positive about the results. Based on the presented results, we will do strategic review of this new information and might commission a detailed study on some of the modules included in the report after end of the year. Overall we are very satisfied and please pass on the praise to the team. Thank you for the co-operation!”

- Germany based machine construction company.

“Thank you very much for the very good report. I have another requirement on cutting tools, paper crafts and decorative items.”

- Japanese manufacturing company of stationery products.

“We are happy with the professionalism of your in-house research team as well as the quality of your research reports. Looking forward to work together on similar projects”

- One of the Leading Food Companies in Germany

“We appreciate the teamwork and efficiency for such an exhaustive and comprehensive report. The data offered to us was exactly what we were looking for. Thank you!”

- Intuitive Surgical

“I recommend Fortune Business Insights for their honesty and flexibility. Not only that they were very responsive and dealt with all my questions very quickly but they also responded honestly and flexibly to the detailed requests from us in preparing the research report. We value them as a research company worthy of building long-term relationships.”

- Major Food Company in Japan

“Well done Fortune Business Insights! The report covered all the points and was very detailed. Looking forward to work together in the future”

- Ziering Medical

“It has been a delightful experience working with you guys. Thank you Fortune Business Insights for your efforts and prompt response”

- Major Manufacturer of Precision Machine Parts in India

“I had a great experience working with Fortune Business Insights. The report was very accurate and as per my requirements. Very satisfied with the overall report as it has helped me to build strategies for my business”

- Hewlett-Packard

“This is regarding the recent report I bought from Fortune Business insights. Remarkable job and great efforts by your research team. I would also like to thank the back end team for offering a continuous support and stitching together a report that is so comprehensive and exhaustive”

- Global Management Consulting Firm

“Please pass on our sincere thanks to the whole team at Fortune Business Insights. This is a very good piece of work and will be very helpful to us going forward. We know where we will be getting business intelligence from in the future.”

- UK-based Start-up in the Medical Devices Sector

“Thank you for sending the market report and data. It looks quite comprehensive and the data is exactly what I was looking for. I appreciate the timeliness and responsiveness of you and your team.”

- One of the Largest Companies in the Defence Industry
We use cookies to enhance your experience. By continuing to visit this site you agree to our use of cookies . Privacy.