20 states with the fewest ASCs

Avanza Healthcare Strategies developed an interactive map showcasing the number of Medicare-certified ASCs in each state. Here are the 20 states with the fewest ASCs, as of 2016.

1. Vermont: 1

2. West Virginia: 9

3. Rhode Island: 11

4. North Dakota: 13

5. Alaska: 15

6. Maine: 16

7. Montana: 16

8. South Dakota: 19

9. Wyoming: 19

10. Hawaii: 20

11. New Mexico: 20

12. Delaware: 23

13. Iowa: 24

14. New Hampshire: 28

15. Kentucky: 33

16. Alabama: 36

17. Utah: 41

18. Connecticut: 45

19. Nebraska: 45

20. Virginia: 52

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