The U.S. orthopedic ambulatory surgery center market size was estimated at around USD 10.13 billion in 2022 and it is projected to hit around USD 15.96 billion by 2032, growing at a CAGR of 4.65% from 2023 to 2032.
Key Pointers

The growth can be attributed to the lower cost of orthopedic surgeries in ambulatory surgery centers (ASCs) and rising investment in orthopedic ASCs. As per research conducted by the Rothman Orthopaedic Institute based in Philadelphia, and Hospital for Special Surgery based in New York, treatment in ASCs costs around 40% less compared to hospital-based outpatient departments. The number of outpatient orthopedic surgical procedures undertaken at ambulatory surgery centers (ASCs) has significantly increased in the past few years. The growing demand can be attributed to the lower cost of treatment at these centers for orthopedic surgeries. According to the study published in PubMed in March 2022, among 990,980 outpatient orthopedic surgeries performed from 2013 to 2018, the ASCs utilization rate increased from 31% to 34% for all the orthopedic procedures with a CAGR of 3.3% for lumbar microdiscectomy, 1.4% for anterior cruciate ligament, 1.8% for knee arthroscopy, 1.4% of carpal tunnel release, 1.2% for the repair of the arthroscopic rotator cuff, and 0.5% for the repair of the bunion.
Medical device vendors such as orthopedic & spine companies and DME manufacturers are suppliers of orthopedic ASCs. With the growing preference and patient shift to ASCs, medical device manufacturers are launching various platforms & programs to transition their pricing and offers in line with customers. Hence, many companies are entering into the supplier business to offer services to orthopedic ASCs. For instance, in 2020, Stryker launched an ASC-focused business segment with around 13,990 products and around 22 product categories that specifically meet the demand for outpatient orthopedic surgery centers.
The number of ASCs is rapidly growing with the continuous shift of cases from Hospital-based Outpatient Departments (HOPDs) to ASCs. This growth can be attributed to several factors including the increased movement of cases from HOPDs to ASCs owing to better patient outcomes, higher patient safety, cost-effectiveness, and profitability. The shift is majorly observed in orthopedic surgeries including knee replacements and elective hip surgeries. According to a research article, more than 50% of joint replacement surgeries would be performed in ASCs by 2030. Hence, the number of ASCs offering orthopedic services is increasing in the U.S.
The COVID-19 pandemic led to the halt of nonurgent orthopedic procedures at ASCs. In March 2021, CMS, CDC, the American College of Surgeons, and the Ambulatory Surgery Center Association issued guidelines to postpone elective surgeries to reduce exposure to the virus. Moreover, the pandemic led to staff burnout and attrition, which has created a shortage of staff in the U.S. As per the 2021 OR Manager Salary/Career Survey, around 49% of ASCs reported open positions for registered nurses, which is double in number compared to 2020.
U.S. Orthopedic Ambulatory Surgery Center Market Segmentations and Key Players:
| By Procedure | Key Players |
|
Fracture Repair ACL Reconstruction Knee Replacement Hip Replacement Shoulder Replacement Arthroscopy Foot & Ankle Others |
Spectrum Orthopedics Academy Orthopedics L.L.C. Upstate Orthopedics Ambulatory Surgery Center Washington Orthopedic Center Southern California Orthopedic Institute ProOrtho Texas Health Orthopedic Surgery Center Columbia Orthopedic Surgery Center Chatham Orthopedic Surgery Center The Orthopedic Surgery Center Of Arizona HealthPartners Specialty Orthopedics |
Chapter 1. Introduction
1.1.Research Objective
1.2.Scope of the Study
1.3.Definition
Chapter 2. Research Methodology
2.1.Research Approach
2.2.Data Sources
2.3.Assumptions & Limitations
Chapter 3. Executive Summary
3.1.Market Snapshot
Chapter 4. Market Variables and Scope
4.1.Introduction
4.2.Market Classification and Scope
4.3.Industry Value Chain Analysis
4.3.1. Raw Material Procurement Analysis
4.3.2. Sales and Distribution Channel Analysis
4.3.3. Downstream Buyer Analysis
Chapter 5.COVID 19 Impact on U.S. Orthopedic Ambulatory Surgery Center Market
5.1. COVID-19 Landscape: U.S. Orthopedic Ambulatory Surgery Center Industry Impact
5.2. COVID 19 - Impact Assessment for the Industry
5.3. COVID 19 Impact: Major Government Policy
5.4.Market Trends and Opportunities in the COVID-19 Landscape
Chapter 6. Market Dynamics Analysis and Trends
6.1.Market Dynamics
6.1.1. Market Drivers
6.1.2. Market Restraints
6.1.3. Market Opportunities
6.2.Porter’s Five Forces Analysis
6.2.1. Bargaining power of suppliers
6.2.2. Bargaining power of buyers
6.2.3. Threat of substitute
6.2.4. Threat of new entrants
6.2.5. Degree of competition
Chapter 7. Competitive Landscape
7.1.1. Company Market Share/Positioning Analysis
7.1.2. Key Strategies Adopted by Players
7.1.3. Vendor Landscape
7.1.3.1.List of Suppliers
7.1.3.2.List of Buyers
Chapter 8. U.S. Orthopedic Ambulatory Surgery Center Market, By Procedure
8.1.U.S. Orthopedic Ambulatory Surgery Center Market, by Procedure Type, 2023-2032
8.1.1. Fracture Repair
8.1.1.1.Market Revenue and Forecast (2020-2032)
8.1.2. ACL Reconstruction
8.1.2.1.Market Revenue and Forecast (2020-2032)
8.1.3. Knee Replacement
8.1.3.1.Market Revenue and Forecast (2020-2032)
8.1.4. Hip Replacement
8.1.4.1.Market Revenue and Forecast (2020-2032)
8.1.5. Shoulder Replacement
8.1.5.1.Market Revenue and Forecast (2020-2032)
8.1.6. Arthroscopy
8.1.6.1.Market Revenue and Forecast (2020-2032)
8.1.7. Foot & Ankle
8.1.7.1.Market Revenue and Forecast (2020-2032)
8.1.8. Others
8.1.8.1.Market Revenue and Forecast (2020-2032)
Chapter 9. U.S. Orthopedic Ambulatory Surgery Center Market, Regional Estimates and Trend Forecast
9.1. U.S.
9.1.1. Market Revenue and Forecast, by Procedure (2020-2032)
Chapter 10.Company Profiles
10.1. Spectrum Orthopedics
10.1.1.Company Overview
10.1.2.Product Offerings
10.1.3.Financial Performance
10.1.4.Recent Initiatives
10.2. Academy Orthopedics L.L.C.
10.2.1.Company Overview
10.2.2.Product Offerings
10.2.3.Financial Performance
10.2.4.Recent Initiatives
10.3. Upstate Orthopedics Ambulatory Surgery Center
10.3.1.Company Overview
10.3.2.Product Offerings
10.3.3.Financial Performance
10.3.4.Recent Initiatives
10.4. Washington Orthopedic Center
10.4.1.Company Overview
10.4.2.Product Offerings
10.4.3.Financial Performance
10.4.4.Recent Initiatives
10.5. Southern California Orthopedic Institute
10.5.1.Company Overview
10.5.2.Product Offerings
10.5.3.Financial Performance
10.5.4.Recent Initiatives
10.6. ProOrtho
10.6.1.Company Overview
10.6.2.Product Offerings
10.6.3.Financial Performance
10.6.4.Recent Initiatives
10.7. Texas Health Orthopedic Surgery Center
10.7.1.Company Overview
10.7.2.Product Offerings
10.7.3.Financial Performance
10.7.4.Recent Initiatives
10.8. Columbia Orthopedic Surgery Center
10.8.1.Company Overview
10.8.2.Product Offerings
10.8.3.Financial Performance
10.8.4.Recent Initiatives
10.9. Chatham Orthopedic Surgery Center
10.9.1.Company Overview
10.9.2.Product Offerings
10.9.3.Financial Performance
10.9.4.Recent Initiatives
10.10. The Orthopedic Surgery Center Of Arizona
10.10.1. Company Overview
10.10.2. Product Offerings
10.10.3. Financial Performance
10.10.4. Recent Initiatives
Chapter 11.Research Methodology
11.1.Primary Research
11.2.Secondary Research
11.3.Assumptions
Chapter 12.Appendix
12.1. About Us
12.2. Glossary of Terms