US Ambulatory Surgical Centers Market Size Likely to Grow at a CAGR of 6.30% By 2035

The US market size of the ambulatory surgical center is projected to be USD 43.75 billion in 2025 and is projected to increase by USD 46.51 billion in 2026 to approximately USD 80.60 billion in 2035 with the CAGR being 6.30%.

US Ambulatory Surgical Centers Market Revenue and Trends

The ambulatory surgical center (ASC) market represents outpatient surgical centers situated in the US that offer high-quality services at lower costs with shorter wait times and greater patient satisfaction than outpatient surgical departments in hospitals.

The US ambulatory surgical centers market is expanding at a very high rate, as the situation is still changing towards outpatient procedures, and the Medicare reimbursement policies, the demand for cost-effective care, the increase in the prevalence of chronic conditions that can be treated by minor surgeries, and the development of new technologies that are specific to the ASC are still actively developed in the outpatient healthcare ecosystem.

What are the Factors That Have a Significant Contribution to the Growth of the US ambulatory surgical centers market?

High-volume procedures (cataract surgery, colonoscopy, knee arthroscopy, joint injections, spine procedures, and pain surgeries), which have been outpaced by the CMS site-neutral payment policies, value-based care incentives, and patient preference of convenience and lower out-of-pocket costs, have increased the demand of ASC services. With commercial payers and Medicare still preferring ASC reimbursement over hospital outpatient departments (HOPD), additional physicians and health systems will invest in or form alliances with ASCs to gain volume and hold margins.

Innovations such as improved endoscopic systems, robotic-assisted platforms, real-time image guidance, improved recovery protocols, and integrated ASC management software in the form of scheduling, billing, and outcome tracking have been brought about by technology and they enhance efficiency, safety and throughput. There are other contributing factors, namely the physician ownership models, higher levels of private equity investment in ASC platforms, broader accreditation standards, related growing interest in infection prevention and patient experience, and favorable regulatory adjustments and workforce training programs.

Segment Insight

By Product Type

Orthopedic and spine-centered ASCs already had the largest market share of the US ambulatory surgical center market as of 2025, with high demand driven by good results, fast healing, and the ability of more complex cases to be performed in ambulatory total joint centers and with minimally invasive spine surgery and improved recovery routes being listed by high percentages of orthopedic surgeons and ASC providers as the best tool in expanding their case mix and improving the patient throughput.

By Distribution Channel

The greatest market share lies in physician-owned and joint-venture ASCs (usually with a hospital relationship), which are typical delivery channels of procedures, investment of facilities, equipment acquisition, and clinical operation. As these models can offer professional competencies in selecting cases, payer contracting, regulatory compliance, and operating efficiency in high-volume outpatient settings, they have become the choice of delivering ambulatory surgical care.

Report Scope

Recent Developments

• In December 2025: United Surgical Partners International (USPI) and Tenet Healthcare grew their ASC network with the addition of 12 new orthopedic and multi-specialty sites in key states to add advanced robotic and same-day total joint replacement offerings to the network to continue to expand the high-acuity outpatient procedures.

List of the prominent players in the US Ambulatory Surgical Centers Market:

• Tenet Healthcare (USPI)

• Surgery Partners Inc.

• AmSurg (Envision Healthcare)

• HCA Healthcare

• SCA Health

• Surgical Care Affiliates

• Physicians Endoscopy

• Covenant Surgical Partners

• ValueHealth

• Nueterra Capital

• Others

The US Ambulatory Surgical Centers Market is segmented as follows:

By Center Type

• Single-Specialty

o   Ophthalmology Centers

o   Orthopedic Centers

o   Gastroenterology Centers

o   Pain Management Centers

• Multi-Specialty

By Ownership

• Physician-Owned

• Hospital-Owned

• Corporate-Owned

By Specialty

• Orthopedics

• Ophthalmology

• Gastroenterology

• Pain Management/Spinal Injections

• Cardiology

• Otolaryngology (ENT)

• Urology

• General Surgery

• Other Specialties

By Service Type

• Surgical Services

• Diagnostic/Ancillary Services