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Ambulatory Surgery Center 2025

Publisher Health Industry Distributors Association (HIDA)
Published Oct 01, 2025
Length 27 Pages
SKU # HD20501753

Description

Market At-A-Glance
The U.S. ambulatory surgery center (ASC) market was valued at $44.5 billion in 2024 and is projected to grow to $103.4billion by 2034. Meanwhile, ASC patient volumes are expected to grow 21% between 2024 and 2034, driven by clinical innovations, payer pressures and consumer preference for outpatient services.

In the first quarter of 2025, more than 12,100 ASCs operated in the U.S., including nearly 6,500 Medicare-certified facilities. More than half of all ASCs (54%) have one or two operating rooms in 2025.

Procedures Continue To Shift From Hospital Settings To ASCs
Single-specialty ASCs continue to dominate the market, with endoscopy, ophthalmology and gastroenterology representing leading specialties. A large share of ASC leaders expressed interest in expanding into spine and total joint specialties in 2025.

Over the last ten years, colonoscopies experienced a major service line shift from hospitals to ASCs as technology improvements made it possible to perform more minimally invasive procedures in outpatient facilities. Even higher acuity cardiology procedures are gaining traction in ASC settings, with one projection predicting that 33% of cardiology cases will be provided in ASCs in 2025.

Table of Contents

27 Pages
Executive Summary
ASC Market Overview
Tariffs Expected To Drive Up Medical Supply Costs And Insurance Premiums
‘One Big Beautiful Bill Act’ Passage Could Signal Changes For ASCs
Number Of Medicare-Certified ASCs Continues To Tick Upward
ASCs Expecting Patient Growth Over Next Ten Years, Outpacing Hospital Growth
Small ASCs Achieved The Most Significant Growth In 2024 But Also Lost Operating Room Efficiency
Single-Specialty Surgical Centers Remain Dominant As ASC Leaders Explore Expansion
High-Acuity Cardiology Grew More Rapidly Than Other Specialties From 2018 To 2023
Despite Decline In Revenue Per Case, ASCs Gain Efficiencies Around Cardiology Procedures
Colonoscopies Continue To Shift From Hospitals To ASCs
Partial Payments Accounted For More Than Half Of ASC Reimbursements In 2024
Denial Rate For ASC Claims Dropped By Half From 2023 To 2024
Little ASC Revenue Linked To Value-Based Payment Models
ASCs Maintain Very Low Incidence Of Unplanned Hospitalizations
Joint Arthroplasty Volumes Grow In ASCs, Most Other Common Procedures Unchanged
Colonoscopies And EGD Biopsies Are Top Outpatient Procedures At Both ASCs And Hospitals
ASC Leaders Cite Rising Operating Costs, Staffing Constraints As Top Concerns
Anesthesia Provider Shortage Impacts ASC Procedure Volumes
Surgical Robotics And AI Among Top Technology Initiatives For ASCs In 2025
ASC IT Services Expected To Surge Over The Next 10 Years
ASC Deal Activity Appears To Slow Despite Large-Scale Acquisitions In 2024 And 2025
Hospital Ownership Of ASCs Spikes In 2024, While Private Equity Investments Grow More Intentional
Trio Of Liver Allograft Procedures Added To The CMS Inpatient Only List In 2025
CMS Proposes Complete Elimination Of IPO List By 2029
Minimally Invasive Surgeries And Patient Convenience Drives Growth Of Office-Based Labs
Reimbursement Disparities Between ASCs And HOPDs Make ASCs Attractive To Payers
Relaxation Of Certificate Of Need Laws In Some States Create Opportunities For ASC Growth
CMS Adds New Measures To Quality Reporting Program
Clarivate Lists Top Products Sold To ASCs Through Distribution

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