ASC Business Valuation
Ambulatory Surgery Center Valuation Calculator & Exit Planning Built for ASC Owners
We built one platform that tracks your ASC's value monthly, identifies exit gaps early, and ensures your personal finances align with your exit timeline.
1,000+ Businesses have joined YourExitValue.com
Most ASC Owners Have No Idea What Their Center is Actually Worth
Current Ambulatory Surgery Center (ASC) Valuation Multiples (2026)
ASC valuations are strong due to favorable healthcare economics. Here's the market:
Every business is different. That's why you need to track your value.
Included in Your Exit Value is a complete Exit Planning Assessment where you track your progress quarterly against your results from the previous quarter.
Know your number and watch it grow
Most business owners guess at their value. You'll know it with precision.
Our platform uses six proven valuation methodologies to give you a complete picture of what your business is worth today—and tracks how that number changes month over month. No more waiting for annual appraisals or paying $15K+ for outdated reports.
See your trends. Spot opportunities. Make informed decisions
What Actually Drives ASC Value
Your clinical quality matters, but sophisticated buyers evaluate these factors that determine premium pricing:
Case Volume
Growing Procedure Count
Case volume is the fundamental metric—how many procedures do you perform monthly and annually? Growing case volume demonstrates surgeon engagement and market demand. Track volume trends by specialty and by surgeon. Declining volume raises concerns about physician relationships or competitive pressure.
Declining cases = buyer concern
Specialty Mix
High-Value Specialties
Not all cases are equal. Orthopedics, spine, and cardiology generally have higher reimbursement than GI or ophthalmology. Understanding your specialty mix and its profitability helps assess value. Adding higher-value specialties—when surgeons support it—can significantly improve economics.
Low-value specialty = margin limits
Surgeon Relationships
Committed Physician Investors/Users
ASCs depend on surgeons bringing cases. Physician investors with ownership stakes are more committed than pure users. Understanding surgeon commitment levels, case volumes by doctor, and relationship stability helps assess risk. Key surgeon departures can devastate an ASC's volume.
Surgeon concentration = key person risk
Payer Contracts
In-Network with Major Payers
In-network contracts with commercial payers, Medicare participation, and favorable reimbursement rates determine revenue per case. Out-of-network strategies face increasing pressure. Evaluate your payer mix and contract rates—they directly impact profitability and value.
Poor contracts = revenue limits
Accreditation & Compliance
Medicare Certified, Accredited
Medicare certification and accreditation (AAAHC, Joint Commission) are baseline requirements for most acquirers. Clean compliance history, proper quality programs, and survey readiness matter. Any regulatory issues create deal risk that sophisticated buyers will heavily discount.
Compliance issues = deal risk
Facility & Equipment
Modern OR Suites, Current Equipment
OR suite count, equipment age, and facility condition affect both capacity and capex requirements. Modern facilities with current equipment support valuations; dated facilities with aging equipment get discounted for required investment. Assess your facility honestly.
Dated facility = capex deduction
How to Value an Ambulatory Surgery Center
The U.S. ambulatory surgery center market includes over 6,000 ASCs generating approximately $45 billion in annual revenue. ASCs have become one of the most valuable healthcare assets due to their lower-cost alternative to hospital outpatient departments and favorable reimbursement trends.
EBITDA and cap rate methods are both used for ASC valuations. ASCs typically sell for 6.0x to 12.0x EBITDA, with multispecialty centers achieving the highest multiples. Single-specialty centers (ophthalmology, orthopedics, GI) typically fall in the 5.0x to 8.0x range.
Revenue multiples for ASCs generally range from 1.5x to 3.5x annual net revenue. ASCs are also frequently valued on a per-operating-room or per-case basis, with values varying significantly by specialty mix and payer composition.
The unique valuation factors for ASCs are the physician ownership structure, case mix, and out-of-network revenue exposure. Most ASCs are physician-owned or co-owned, and the stability of physician utilization commitments is critical — if key surgeons stop bringing cases, revenue drops immediately. Buyers evaluate case volume trends by physician, payer mix (commercial vs. government), specialty distribution, and equipment condition. ASCs with diversified physician users, in-network contracts with major payers, and high-acuity case capabilities (total joint replacement, spine) command maximum valuations.
ASC valuations have been driven higher by the CMS expansion of covered procedures, favorable commercial reimbursement, and active acquisition by platforms like USPI, Amsurg, and SCA Health. Use our free calculator above to get your instant estimate, then track your value monthly with YourExitValue.
Frequently Asked Questions
What multiple do ASCs sell for?
ASCs typically sell for 4.0x – 8.0x SDE or 6x – 12x EBITDA. Centers with high-value specialties, growing case volume, and diversified surgeon relationships command premium multiples.
How does specialty mix affect ASC value?
Significantly. Orthopedics, spine, and cardiology generally have higher reimbursement than GI or ophthalmology. Specialty mix directly impacts profitability and valuation.
Who buys ASCs?
National ASC companies (USPI, AmSurg/Envision, SCA Health), hospital systems seeking outpatient strategy, PE-backed ASC platforms, and physician groups consolidating.
How important are surgeon relationships?
Critical. ASCs depend on surgeons bringing cases. Physician investors are more committed than pure users. Surgeon concentration creates key person risk.
Does accreditation affect ASC value?
Yes. Medicare certification and accreditation are baseline requirements for most acquirers. Clean compliance history matters—regulatory issues create deal risk.
What's the fastest way to increase my ASC value?
Three high-impact moves: 1) Grow case volume by recruiting surgeons, 2) Add higher-value specialties (ortho, spine, cardio), 3) Diversify surgeon base to reduce concentration risk.