10 states with the most ASCs per capita

The number of ASCs is growing across the U.S. as patients and payers demand more outpatient surgery, and the national population is growing overall while state populations continue to shift.

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Becker’s ASC Review has compiled populational ASC metrics for every state and the District of Columbia based on 2020 Census data, CMS figures from March 2021, and our own coverage of new ASC development in 2021.

Maryland continues to lead the pack with 5.67 ASCs per 100,000 people, while Arizona overtook New Jersey for the No. 5 spot with a booming 17 ASCs added in 2021. Nebraska and Nevada both passed Mississippi in per capita ASC rates from last year’s list.

Note: Blue highlight denotes that a state has no certificate of need law. Green denotes states with CON laws that do not regulate ASCs, according to the National Conference of State Legislatures.

Rank

State

ASCs

Change in ASCs from 2021

Population

ASCs per (100k) capita

1

Maryland

350

+8

6,177,224

5.67

2

Georgia

374

+6

10,711,908

3.49

3

Wyoming

18

576,851

3.12

4

Idaho

55

1,839,106

2.99

5

Arizona

208

+17

7,151,502

2.91

6

New Jersey

263

+4

9,288,994

2.83

7

Nebraska

52

+1

1,961,504

2.65

8

Nevada

82

+2

3,104,614

2.64

9

Mississippi

78

+1

2,961,279

2.63

10

Alaska

19

+1

733,391

2.59

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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