Which states have the most ASCs? State-by-state breakdown

California had the most Medicare-certified ASCs as of June 2018, according to data from The Ambulatory Surgery Center Association. 

Using data provided by CMS, ASCA reported the number of Medicare-certified ASCs in each state as of June 2017 and June 2018. Here's the percentage increase or decrease for each state from 2017-18:

South Dakota: -10.5 percent
June 2017: 19
June 2018: 17

New Mexico: -5.6 percent
June 2017: 18
June 2018: 17

New Jersey: -3.7 percent
June 2017: 269
June 2018: 259

Washington: -3.1 percent
June 2017: 194
June 2018: 188

South Carolina: -3 percent
June 2017: 67
June 2018: 65

Ohio: -2.7 percent
June 2017: 186
June 2018: 181

Massachusetts: -1.8 percent
June 2017: 56
June 2018: 55

Tennessee: -1.5 percent
June 2017: 136
June 2018: 134

Colorado: -0.82 percent
June 2017: 122
June 2018: 121

Indiana: -0.8 percent
June 2017: 125
June 2018: 124

Hawaii: 0 percent
June 2017: 21
June 2018: 21

Idaho: 0 percent
June 2017: 52
June 2018: 52

Alabama: 0 percent
June 2017: 35
June 2018: 35

California: 0 percent
June 2017: 794
June 2018: 794

Iowa: 0 percent
June 2017: 24
June 2018: 24

Kansas: 0 percent
June 2017: 63
June 2018: 63

Maine: 0 percent
June 2017: 16
June 2018: 16

Rhode Island: 0 percent
June 2017: 10
June 2018: 10

Montana: 0 percent
June 2017: 17
June 2018: 17

Utah: 0 percent
June 2017: 41
June 2018: 41

Vermont: 0 percent
June 2017: 1
June 2018: 1

Washington, D.C.: 0 percent
June 2017: 3
June 2018: 3

West Virginia: 0 percent
June 2017: 10
June 2018: 10

Wyoming: 0 percent
June 2017: 18
June 2018: 18

Maryland: 0.3 percent
June 2017: 345
June 2018: 346

Michigan: 1 percent
June 2017: 99
June 2018: 100

Louisiana: 1.2 percent
June 2017: 81
June 2018: 82

Nevada: 1.4 percent
June 2017: 69
June 2018: 70

North Carolina: 1.9 percent
June 2017: 104
June 2018: 106

Connecticut: 2.1 percent
June 2017: 48
June 2018: 49

Missouri: 2.1 percent
June 2017: 95
June 2018: 97

Florida: 2.2 percent
June 2017: 417
June 2018: 426

Oregon: 2.3 percent
June 2017: 86
June 2018: 88

Oklahoma: 2.4 percent
June 2017: 42
June 2018: 43

Kentucky: 3 percent
June 2017: 33
June 2018: 34

Georgia: 3.2 percent
June 2017: 339
June 2018: 350

Arkansas 3.3 percent
June 2017: 60
June 2018: 62

New Hampshire: 3.8 percent
June 2017: 26
June 2018: 27

Virginia: 3.8 percent
June 2017: 52
June 2018: 54

Wisconsin: 3.9 percent
June 2017: 77
June 2018: 80

Arizona: 4 percent
June 2017: 174
June 2018: 181

Illinois: 4.1 percent
June 2017: 122
June 2018: 127

Delaware: 4.3 percent
June 2017: 23
June 2018: 24

Minnesota: 4.3 percent
June 2017: 69
June 2018: 72

Mississippi: 4.3 percent
June 2017: 69
June 2018: 72

Nebraska: 4.3 percent
June 2017: 47
June 2018: 49

Pennsylvania: 4.3 percent
June 2017: 234
June 2018: 244

New York: 5.2 percent
June 2017: 134
June 2018: 141

Alaska: 6.7 percent
June 2017: 15
June 2018: 16

Texas: 6.8 percent
June 2017: 366
June 2018: 391

North Dakota: 9 percent
June 2017: 11
June 2018: 12

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