There are 6,468 Medicare-certified ASCs in the U.S., according to CMS data.
ASCA reported the number of ASCs by state as of March 2025.
Below is the breakdown of Medicare-certified surgery centers in each state:
| Alabama | 51 |
| Alaska | 18 |
| Arizona | 239 |
| Arkansas | 84 |
| California | 896 |
| Colorado | 132 |
| Connecticut | 54 |
| Delaware | 22 |
| District of Columbia | 2 |
| Florida | 517 |
| Georgia | 423 |
| Guam | 2 |
| Hawaii | 24 |
| Idaho | 61 |
| Illinois | 136 |
| Indiana | 140 |
| Iowa | 34 |
| Kansas | 75 |
| Kentucky | 39 |
| Louisiana | 89 |
| Maine | 15 |
| Maryland | 347 |
| Massachusetts | 58 |
| Michigan | 126 |
| Minnesota | 92 |
| Mississippi | 79 |
| Missouri | 98 |
| Montana | 25 |
| Nebraska | 51 |
| Nevada | 84 |
| New Hampshire | 29 |
| New Jersey | 250 |
| New Mexico | 23 |
| New York | 182 |
| North Carolina | 152 |
| North Dakota | 15 |
| Ohio | 210 |
| Oklahoma | 40 |
| Oregon | 91 |
| Pennsylvania | 239 |
| Puerto Rico | 28 |
| Rhode Island | 15 |
| South Carolina | 81 |
| South Dakota | 15 |
| Tennessee | 156 |
| Texas | 497 |
| Utah | 63 |
| Vermont | 2 |
| Virgin Islands | 4 |
| Virginia | 74 |
| Washington | 171 |
| West Virginia | 7 |
| Wisconsin | 91 |
| Wyoming | 20 |
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.