U.S. & Europe Ambulatory Surgery Centers Market Size, Share, Growth, Trends, Company Analysis, Regional Insights and Forecast 2020 - 2027

The U.S. and Europe ambulatory surgery centers market size was valued at USD 58.1 billion in 2019 and expanding at a CAGR of 6% over forecast period 2020 to 2027.

Increasing demand for minimally invasive surgeries (MIS), technological developments in surgical devices and equipment, and surgeons’ control over the choice of such equipment are some of the factors responsible for the market growth. Other factors such as an increase in the incidence of chronic diseases and a rise in geriatric population and thus rising requirement of cost-effective and efficient treatments also contribute to the growth. Rising healthcare costs is anticipated to play a vital role in increasing focus on ambulatory surgery centers (ASCs). These centers allow healthcare professionals to make healthcare services more affordable without having to compromise on the quality of care. This factor is expected to bode well for the market growth in the forthcoming years.

The Medicare-certified ambulatory surgery centers with registered doctors, nurses, and physical therapists at Medicare-certified offer surgical treatment at a low cost. Demand for ASCs is gaining traction for minimally invasive surgical procedures in several fields, including neurosurgery, otorhinolaryngology, and cosmetic surgery. The number of inpatient admissions has significantly decreased in the past years, due to the trend shifting toward ASCs.

In the U.S., more than 65% of total surgeries are performed in ambulatory surgery centers. This is primarily due to high inpatient hospitalization costs and a rise in the adoption of advanced technologies by the ASCs, enabling the provision of rapid and cost-effective treatment.

The use of robotic surgical systems for performing complex surgical procedures and the integration of advanced visualization systems at ASCs are the major factors driving the growth of the market. Rising numbers of mergers and acquisitions are projected to create growth opportunities for the key players operating in the market.

Market Study

The orthopedics segment held the largest market share of over 24% in 2019. This dominance of the segment is attributed to the large surgical case volume being handled on an outpatient basis and the addition of new procedures under ASC coverage.

More than 60% of the total orthopedic procedures are performed in the multispecialty ASCs in the U.S. With the addition of more complex procedures like total hip replacement under ASC coverage by CMS, the demand for orthopedic surgery in ambulatory surgery centers setting is expected to increase in the forthcoming years. The otolaryngology or ENT segment is expected to witness the highest CAGR during the forecast period followed by a gastroenterology segment.

In Europe, plastic surgery is expected to witness the highest CAGR during the forecast period. The number of plastic surgeries being performed each year is witnessing a rapid rise in the region, owing to the rising trend of body shaping and increasing number of cosmetic and aesthetic procedures. According to The International Association for Ambulatory Surgery (IAAS), Germany, Italy, Greece, Netherlands, and Spain perform the maximum number of plastic surgeries in a year, with around 40% procedures performed in ASCs.

The physician-owned segment held the major market share of around 49% in 2019, which can be attributed to growing physicians’ interests towards standalone ambulatory surgery centers for increased profitability.

In Europe, the majority of day surgery/ ambulatory centers are owned by hospitals and patients can be directly referred to the parent hospital for inpatient admissions. Hospitals are the main facilities providing health care services and have a significant share in terms of healthcare spending. In countries like England, Germany, and France, ambulatory surgery centers are mainly owned by physicians.

The U.S. dominated the market with a revenue share of over 55% in 2019. Presence of sophisticated healthcare facilities, availability of highly advanced equipment and skilled neuro as well as bariatric surgeons, increase in the number of ASCs, rise in the preference for outpatient settings for MIS procedures, and supportive reimbursement framework for medical treatments are among the factors driving the growth of the market in the region.

The Europe ambulatory surgery centers market is anticipated to grow significantly over the forecast period. High incidence of ophthalmic disorders and rising number of cosmetic surgical procedures in day surgery/ ambulatory centers are among the major factors driving the market in the region. In addition, favorable government policies to improve the healthcare system and rapid economic development in many countries are some of the factors anticipated to boost the market over the forecast period.

Some of the prominent players in the U.S. ambulatory surgery centers market include:

  • Envision Healthcare Corporation

  • Tenet Healthcare Corporation

  • MEDNAX Services, Inc.

  • TeamHealth

  • UnitedHealth Group

  • Quorum Health Corporation

  • Surgery Partners

  • Surgical Care Affiliates (SCA)

  • Community Health Systems, Inc.

  • HCA Healthcare, Inc.

  • Surgical Center Development, Inc.

Some of the prominent players in the Europe ambulatory surgery centers market include:

  • Chelsea & Westminster Hospital

  • Zudecche Day Surgery

  • The Alan Cumming Day Surgery Unit

  • London Day Surgery Centre

  • Ghent University Hospital

Market Segmentation

Specialty Outlook

    • Ophthalmology

    • Orthopedics

    • Gastroenterology

    • Pain Management/Spinal Injections

    • Plastic Surgery

    • Podiatry

    • Otolaryngology

    • Obstetrics/Gynecology

    • Dental

    • Others

Ownership Outlook

    • Hospital-Owned

    • Physician-Owned

    • Others

Regional Outlook

    • The U.S.

    • Europe

Table of Contents

Chapter 1 Research Objective
                   1.1 Objectives
                       1.1.1 Objective - 1
                       1.1.2 Objective - 2
                       1.1.3 Objective - 3
Chapter 2 Executive Summary
                   2.1 Market Outlook
                   2.2 Segment Outlook
                       2.2.1 Specialty
                       2.2.2 Ownership
                       2.2.3 Regional Outlook
                   2.3 Competitive Insights
Chapter 3 U.S. and Europe Ambulatory Surgery Center (ASC) Market Variables, Trends & Scope
                   3.1 Market Lineage Outlook
                       3.1.1 Parent Market Outlook
                       3.1.2 Related/Ancillary Market Outlook
                   3.2 Market Dynamics
                       3.2.1 Market Driver Analysis
                           3.2.1.1 Cost-effectiveness with increased coverage
                           3.2.1.2 Improved outcomes
                           3.2.1.3 Technological advancements and increasing demand for minimally invasive surgeries
                           3.2.1.4 Ageing population
                       3.2.2 Market Restraint Analysis
                           3.2.2.1 Safety issues and regulatory concerns
                           3.2.2.2 Operational uncertainty
                   3.3 Business Environment Analysis Tools
                       3.3.1 PESTEL Analysis
                           3.3.1.1 Political landscape
                           3.3.1.2 Economic and social landscape
                           3.3.1.3 Technology landscape
                       3.3.2 Porter’s Five Forces Analysis
                           3.3.2.1 Competitive rivalry: High
                           3.3.2.2 Threat of new entrants
                           3.3.2.3 Bargaining power of buyers
                           3.3.2.4 Bargaining power of suppliers
                           3.3.2.5 Threat of substitutes
                       3.3.3 Penetration & Growth Prospect Mapping
                   3.4 Major Deals & Strategic Alliances Analysis
                       3.4.1 Mergers & Acquisitions and Joint Ventures
                       3.4.2 Licensing & Partnerships and Technology Collaborations
Chapter 4 U.S. Ambulatory Surgery Center (ASC) Market Outlook
                   4.1 Regulatory & Reimbursement Scenario, 2019
                       4.1.1 Ambulatory Services Regulations in the U.S.
                       4.1.2 U.S. Ambulatory Surgery Center (ASC) Market, 2016 - 2027 (USD Million)
                   4.2 U.S. Ambulatory Surgery Center (ASC): Penetration Analysis
                       4.2.1 Video and Operating Equipment
                       4.2.2 Medicare Certified vs Not Certified
                   4.3 U.S. Ambulatory Surgery Center (ASC) Market: Segment Analysis, by Specialty, 2016-2027 (USD Million)
                       4.3.1 U.S. Ambulatory Surgery Center (ASC) Specialty Market Share Analysis, 2019 & 2027
                       4.3.2 U.S. Ambulatory Surgery Center (ASC) Specialty Market: Segment Dashboard
                       4.3.3 Market Size & Forecasts and Trend Analysis, 2016 to 2027 for the Specialty Segment
                           4.3.3.1 Ophthalmology
                               4.3.3.1.1 Ophthalmology market, 2016 - 2027 (USD Million)
                           4.3.3.2 Orthopedics
                               4.3.3.2.1 Orthopedics market, 2016 - 2027 (USD Million)
                           4.3.3.3 Gastroenterology
                               4.3.3.3.1 Gastroenterology market, 2016 - 2027 (USD Million)
                           4.3.3.4 Pain management/spinal injection
                               4.3.3.4.1 Pain management/spinal injection market, 2016 - 2027 (USD Million)
                           4.3.3.5 Plastic surgery
                               4.3.3.5.1 Plastic surgery market, 2016 - 2027 (USD Million)
                           4.3.3.6 Podiatry
                               4.3.3.6.1 Podiatry market, 2016 - 2027 (USD Million)
                           4.3.3.7 Otolaryngology
                               4.3.3.7.1 Otolaryngology market, 2016 - 2027 (USD Million)
                           4.3.3.8 Obstetrics/Gynecology
                               4.3.3.8.1 Obstetrics/gynecology market, 2016 - 2027 (USD Million)
                           4.3.3.9 Dental
                               4.3.3.9.1 Dental market, 2016 - 2027 (USD Million)
                           4.3.3.10 Others
                               4.3.3.10.1 Others market, 2016 - 2027 (USD Million)
                   4.4 U.S. Ambulatory Surgery Center (ASC) Market: Segment Analysis, By Ownership, 2016-2027 (USD Million)
                       4.4.1 U.S. Ambulatory Surgery Center (ASC) Ownership Market Share Analysis, 2019 & 2027
                       4.4.2 U.S. Ambulatory Surgery Center (ASC) Ownership Market: Segment Dashboard
                       4.4.3 Market Size & Forecasts and Trend Analysis, 2016 to 2027 for the Ownership Segment
                           4.4.3.1 Hospital owned
                               4.4.3.1.1 Hospital-owned market, 2016 - 2027 (USD Million)
                           4.4.3.2 Physician-owned
                               4.4.3.2.1 Physician owned market, 2016 - 2027 (USD Million)
                           4.4.3.3 Others
                               4.4.3.3.1 Others market, 2016 - 2027 (USD Million)
                   4.5 U.S. Ambulatory Surgery Center (ASC) Market: Competitive & Vendor Landscape
                       4.5.1 Recent Developments & Impact Analysis, By Key Market Participants
                       4.5.2 Company/Competition Categorization (Key innovators, market leaders, emerging players)
                       4.5.3 Company Market Position Analysis (Market presence, service portfolio, employee strength strategic initiatives)
                       4.5.4 Key Companies Profiled: Service Providers
                           4.5.4.1 Envision Healthcare Corporation
                               4.5.4.1.1 Company overview
                               4.5.4.1.2 Financial performance
                               4.5.4.1.3 Services benchmarking
                               4.5.4.1.4 Strategic initiatives
                               4.5.4.1.5 SWOT analysis
                           4.5.4.2 Tenet Healthcare Corporation
                               4.5.4.2.1 Company overview
                               4.5.4.2.2 Financial performance
                               4.5.4.2.3 Services benchmarking
                               4.5.4.2.4 Strategic initiatives
                               4.5.4.2.5 SWOT analysis
                           4.5.4.3 MEDNAX Services, Inc
                               4.5.4.3.1 Company overview
                               4.5.4.3.2 Financial performance
                               4.5.4.3.3 Service benchmarking
                               4.5.4.3.4 Strategic initiatives
                               4.5.4.3.5 SWOT analysis
                           4.5.4.4 Teamhealth
                               4.5.4.4.1 Company overview
                               4.5.4.4.2 Financial performance
                               4.5.4.4.3 Service benchmarking
                               4.5.4.4.4 Strategic initiatives
                           4.5.4.5 UnitedHealth Group
                               4.5.4.5.1 Company overview
                               4.5.4.5.2 Financial performance
                               4.5.4.5.3 Service benchmarking
                               4.5.4.5.4 Strategic initiatives
                               4.5.4.5.5 SWOT analysis
                           4.5.4.6 Quorum Health Corporation (QHC)
                               4.5.4.6.1 Company overview
                               4.5.4.6.2 Financial performance
                               4.5.4.6.3 Service benchmarking
                               4.5.4.6.4 Strategic initiatives
                           4.5.4.7 Surgery Partners
                               4.5.4.7.1 Company overview
                               4.5.4.7.2 Financial performance
                               4.5.4.7.3 Services benchmarking
                               4.5.4.7.4 Strategic initiatives
                               4.5.4.7.5 SWOT analysis
                           4.5.4.8 Surgical Care Affiliates (SCA)
                               4.5.4.8.1 Company overview
                               4.5.4.8.2 Financial performance
                               4.5.4.8.3 Services benchmarking
                               4.5.4.8.4 Strategic initiatives
                               4.5.4.8.5 SWOT analysis
                           4.5.4.9 Community Health Systems, Inc.
                               4.5.4.9.1 Company overview
                               4.5.4.9.2 Financial performance
                               4.5.4.9.3 Services benchmarking
                               4.5.4.9.4 Strategic initiatives
                               4.5.4.9.5 SWOT analysis
                           4.5.4.10 Hospital Corporation of America (HCA)
                               4.5.4.10.1 Company overview
                               4.5.4.10.2 Financial performance
                               4.5.4.10.3 Services benchmarking
                               4.5.4.10.4 Strategic initiatives
                               4.5.4.10.5 SWOT analysis
                           4.5.4.11 Surgical Center Development, Inc.
                               4.5.4.11.1 Company overview
                               4.5.4.11.2 Financial performance
                               4.5.4.11.3 service benchmarking
                               4.5.4.11.4 Strategic initiatives
Chapter 5 Europe Ambulatory Surgery Center (ASC) Market Outlook
                   5.1 Regulatory & Reimbursement Scenario, 2019
                       5.1.1 Europe Ambulatory Surgery Center (ASC) Market, 2016 - 2027 (USD Million)
                   5.2 Europe Ambulatory Surgery Center (ASC) Market: Segment Analysis, By Specialty, 2016-2027 (USD Million)
                       5.2.1 Europe Ambulatory Surgery Center (ASC) Specialty Market Share Analysis, 2019 & 2027
                       5.2.2 Europe Ambulatory Surgery Center (ASC) Specialty Market: Segment Dashboard
                       5.2.3 Market Size & Forecasts and Trend Analysis, 2016 to 2027 for the Specialty Segment
                           5.2.3.1 Ophthalmology
                               5.2.3.1.1 Ophthalmology market, 2016 - 2027 (USD Million)
                           5.2.3.2 Orthopedics
                               5.2.3.2.1 Orthopedics market, 2016 - 2027 (USD Million)
                           5.2.3.3 Gastroenterology
                               5.2.3.3.1 Gastroenterology market, 2016 - 2027 (USD Million)
                           5.2.3.4 Pain management/spinal injection
                               5.2.3.4.1 Pain management/spinal injection market, 2016 - 2027 (USD Million)
                           5.2.3.5 Plastic surgery
                               5.2.3.5.1 Plastic surgery market, 2016 - 2027 (USD Million)
                           5.2.3.6 Podiatry
                               5.2.3.6.1 Podiatry market, 2016 - 2027 (USD MILLION)
                           5.2.3.7 Otolaryngology
                               5.2.3.7.1 Otolaryngology market, 2016 - 2027 (USD Million)
                           5.2.3.8 Obstetrics/Gynecology
                               5.2.3.8.1 Obstetrics/gynecology market, 2016 - 2027 (USD Million)
                           5.2.3.9 Dental
                               5.2.3.9.1 Dental market, 2016 - 2027 (USD Million)
                           5.2.3.10 Others
                               5.2.3.10.1 Others market, 2016 - 2027 (USD MILLION)
                   5.3 Europe Ambulatory Surgery Center (ASC) Market: Segment Analysis, By Ownership, 2016-2027 (USD Million)
                       5.3.1 Europe Ambulatory Surgery Center (ASC) Ownership Market Share Analysis, 2019 & 2027
                       5.3.2 Europe Ambulatory Surgery Center (ASC) Ownership Market: Segment Dashboard
                       5.3.3 Market Size & Forecasts and Trend Analysis, 2016 to 2027 for the Ownership Segment
                           5.3.3.1 Hospital-owned
                               5.3.3.1.1 Hospital-owned market, 2016 - 2027 (USD Million)
                           5.3.3.2 Physician-owned
                               5.3.3.2.1 Physician owned market, 2016 - 2027 (USD Million)
                           5.3.3.3 Others
                               5.3.3.3.1 Others market, 2016 - 2027 (USD Million)
                   5.4 Europe Ambulatory Surgery Center (ASC) Market: Competitive & Vendor Landscape
                       5.4.1 Recent Developments & Impact Analysis, by Key Market Participants
                       5.4.2 Company/Competition Categorization (Key Innovators, Market Leaders, Emerging Players)
                       5.4.3 Company Market Position Analysis (Market presence, service portfolio, employee strength, strategic initiatives)
                       5.4.4 Key Companies Profiled: Service Providers
                           5.4.4.1 Chelsea and Westminster Hospital
                               5.4.4.1.1 Company overview
                               5.4.4.1.2 Financial performance
                               5.4.4.1.3 Service benchmarking
                               5.4.4.1.4 Strategic initiatives
                           5.4.4.2 Zudecche day surgery
                               5.4.4.2.1 Company overview
                               5.4.4.2.2 Financial performance
                               5.4.4.2.3 Service benchmarking
                               5.4.4.2.4 Strategic initiatives
                           5.4.4.3 Alan Cumming Day Surgery Unit
                               5.4.4.3.1 Company overview
                               5.4.4.3.2 Financial performance
                               5.4.4.3.3 Service benchmarking
                               5.4.4.3.4 Strategic initiatives
                           5.4.4.4 London Day Surgery Centre
                               5.4.4.4.1 Company overview
                               5.4.4.4.2 Financial performance
                               5.4.4.4.3 Service benchmarking
                               5.4.4.4.4 Strategic initiatives
                           5.4.4.5 Ghent University Hospital
                               5.4.4.5.1 Company overview
                               5.4.4.5.2 Financial performance
                               5.4.4.5.3 Service benchmarking
                               5.4.4.5.4 Strategic initiatives
Chapter 6 Research Methodology & Scope
                   6.1 Research Methodology
                       6.1.1 Information Procurement
                           6.1.1.1 Purchased database:
                           6.1.1.2 GVR’s internal database
                       6.1.2 Primary Research
                   6.2 Research Scope and Assumptions
                   6.3 List to Data Sources
Chapter 7 Report FAQs
                   7.1 How do I trust your report quality/data accuracy?
                   7.2 My research requirement is very specific; can I customize this report?
                   7.3 I have a pre-defined budget. Can I buy chapters/sections of this report?
                   7.4 How do you arrive at these market numbers?
                   7.5 Who are your clients?
                   7.6 How will I receive this report?

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Customization Offered

  • check-imgCross-segment Market Size and Analysis for Mentioned Segments
  • check-imgAdditional Company Profiles (Upto 5 With No Cost)
  • check-img Additional Countries (Apart From Mentioned Countries)
  • check-img Country/Region-specific Report
  • check-img Go To Market Strategy
  • check-imgRegion Specific Market Dynamics
  • check-imgRegion Level Market Share
  • check-img Import Export Analysis
  • check-imgProduction Analysis
  • check-imgOthers