The biggest ASC companies by market share 

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The ASC market continues to consolidate, with Dallas-based United Surgical Partners International leading the sector by market share, according to a 2025 report from VMG Health.

Here’s a breakdown of the biggest ASC companies’ market share in 2025, out of out of 6,468 total Medicare-certified centers:

USPI (Tenet Healthcare):

Total number of centers: 520

Market share: 8%

SCA Health (Optum):

Total number of centers: 320

Market share: 4.9%

AmSurg:

Total number of centers: 250

Market share: 3.9%

HCA:

Total number of centers: 150

Market share): 2.3%

Surgery Partners:

Total number of centers: 132

Market share: 2%

Other management/multi-site operators (estimated):

Total number of centers: 894

Market share: 13.8%

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.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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