Outpatient surgical procedures have moved from a niche alternative to the dominant mode of surgical care delivery across most developed healthcare systems. A combination of minimally invasive technology, favorable reimbursement policy, and sustained pressure on healthcare budgets has steadily shifted volume away from inpatient wards. Procedures that once required multi-day hospital admissions — joint replacement, percutaneous coronary intervention, CAR T-cell therapy monitoring — are now being performed and managed safely on a same-day basis in ambulatory surgical centers and hospital outpatient departments.
According to BCC Research's report Outpatient Surgical Procedures: Global Markets (MDS016B), the global market was valued at $353.2 billion in 2025 and is forecast to reach $598.6 billion by 2031, growing at a CAGR of 9.4% over the 2026–2031 period. That trajectory reflects the compounding effect of aging populations, rising chronic disease burden, cost-driven payer and provider incentives, and expanding facility infrastructure — particularly ambulatory surgical centers — across both mature and emerging healthcare markets.
The companies operating at the center of this market span national hospital systems, integrated health plans, specialty surgical operators, academic medical centers, and international private hospital groups. Each brings a distinct model, but all are investing in outpatient capacity, technology, and access. The ten companies below represent the range of strategies shaping this global market.
Market Context: Segments and Regional Leadership
Orthopedics is the largest surgery type globally, valued at $81.8 billion in 2025 with a 10.9% CAGR — the fastest growth among surgical categories. Demographic pressure and the successful migration of procedures such as knee arthroscopy and joint replacement to ambulatory settings drive that momentum. Obstetrics and gynecology ($70.5 billion, 10.5% CAGR) and gastrointestinal procedures ($61.0 billion, 9.8% CAGR) are the next largest segments, both benefiting from laparoscopic and endoscopic technique advances. By procedure type, elective surgery dominates at $223.8 billion — 63.4% of the total — with its scheduled, predictable nature well suited to outpatient facility models.
Among facility types, hospital outpatient departments remain the largest segment at $191.7 billion in 2025, supported by existing infrastructure and the capacity to handle complex cases. Ambulatory surgical centers, at $89.6 billion, are growing fastest at a 10.5% CAGR, driven by their roughly 50% cost advantage over traditional hospitals and expanding procedural scope in orthopedics, cardiology, and spine. North America leads all regions at $204.1 billion in 2025, anchored by the U.S. market at $175.0 billion. Asia-Pacific, at $47.0 billion, is the fastest-growing major region at a 9.9% CAGR, with India recording the highest country-level growth rate at 12.0%.
The Top 10 Companies in Outpatient Surgical Procedures
1. C-HCA Inc. (HCA Healthcare)
• Headquarters: Nashville, Tennessee, U.S.
• Founded: 1968
• Revenue: $70,603 million (FY2024)
• Employees: 316,000
• Focus: Acute care hospitals, ambulatory surgery centers, outpatient and endoscopy centers, urgent care, home health, Surgery Ventures
HCA Healthcare is one of the largest hospital operators in the world and an aggressive mover in outpatient surgical capacity. Its Surgery Ventures division operates 124 freestanding surgery centers across 16 states through a physician-led model involving approximately 3,400 physicians. A 2024 acquisition of two Texas surgery centers reinforced its Medical City Healthcare network, while the Sarah Cannon Cancer Institute's outpatient CAR T-cell therapy model — shifting over 75% of patients to outpatient care and avoiding more than 1,200 hospital bed days for the first 100 patients — demonstrates its clinical ambition beyond routine procedures.
2. IHH Healthcare Berhad
• Headquarters: Kuala Lumpur, Malaysia
• Founded: 1945
• Revenue: $3,388.9 million (FY2024)
• Employees: 76,000
• Focus: Outpatient facilities, ambulatory care centers
IHH Healthcare Berhad is among the largest private hospital groups in Asia, with operations spanning Malaysia, Singapore, Türkiye, India, and Greater China. Its primary business concentration in Malaysia and Singapore provides a stable revenue base, while its expansion into Greater China — including activity in Shanghai — positions it to capture growth in one of the market's fastest-growing country segments. IHH competes across outpatient facilities and ambulatory care, serving diverse patient populations across markets at varying stages of outpatient infrastructure development.
3. Cambridge University Hospitals
• Headquarters: Cambridge, U.K.
• Founded: 2004
• Revenue: $2,045.4 million (FY2024)
• Employees: 13,280
• Focus: Emergency, surgical, and oncology services, outpatient procedures, clinical education and research
Cambridge University Hospitals, home to Addenbrooke's Hospital, made international clinical history in 2025 when NHS cancer patients there became the first in Europe to receive histotripsy — incisionless ultrasound surgery that destroys tumors without radiation or incisions. CUH is investing £91.8 million in capital spending for 2024/25 across estates, equipment, and digital infrastructure. It also extends outpatient reach through satellite and outreach programs in community hospitals and GP surgeries, broadening access beyond its Cambridge campus.
4. Cleveland Clinic
• Headquarters: Cleveland, Ohio, U.S.
• Founded: 1921
• Revenue: $18,273.9 million (FY2025)
• Employees: 83,000
• Focus: Ambulatory care, outpatient surgical procedures, hospital services, rehabilitation, neurological outpatient care, medical education and research
Cleveland Clinic is building a multi-site outpatient surgical network. In 2026, it launched outpatient elective surgery programs across its Main Campus and four Northeast Ohio locations, covering urology, orthopedics, spine, plastics, and robotic-assisted procedures. A 2025 partnership with Regent Surgical to establish and manage ASCs nationally broadens its ambulatory reach beyond its home region. The organization is also expanding outpatient physical therapy into Erie, Pennsylvania, and opened a new neurological outpatient facility in Beachwood, Ohio, equipped with MRI, CT, EMG, and OCT diagnostic technology.
5. Helios Kliniken GmbH (Fresenius Helios)
• Headquarters: Berlin, Germany
• Founded: 1994
• Revenue: $13,786.3 million (FY2024)
• Employees: 128,558
• Focus: Hospital operations, medical care centers, outpatient centers, specialized prevention and occupational medicine
Fresenius Helios is Europe's largest private hospital operator by scale, treating roughly 27 million patients annually across its German and Spanish operations. In Germany, it runs over 80 hospitals and 200 outpatient centers, including medical care centers and occupational medicine facilities. Its Spanish subsidiary, Quirónsalud, operates 57 hospitals — seven in Latin America — plus 130 outpatient clinics and over 300 occupational risk centers, serving around 22 million patients each year. Expanding outpatient surgical capability across both national markets is a stated strategic priority.
6. Icahn School of Medicine at Mount Sinai
• Headquarters: New York, U.S.
• Founded: 1852
• Revenue: $11,900 million (FY2024)
• Employees: 47,000
• Focus: Ambulatory care, outpatient surgical procedures, oncology, orthopedics, dermatology, neurology, medical education and research
Mount Sinai operates more than 400 outpatient practices and 10 standalone joint ventures, supported by over 17,000 clinical providers, making it one of the densest outpatient networks among U.S. academic health systems. The organization is expanding its geographic footprint with a new emergency facility in Westchester expected in mid-2026 and a second hospital in South Florida serving Miami-Dade County. Its integrated model emphasizes high-acuity specialty care across all life stages, with outpatient and ambulatory services central to how it delivers that scope.
7. Kaiser Foundation Health Plan Inc.
• Headquarters: Oakland, California, U.S.
• Founded: 1945
• Revenue: $115,750 million (FY2024)
• Employees: 243,795
• Focus: Ambulatory care, health insurance and health plans, outpatient surgical services, value-based care
Kaiser Permanente's integrated insurer-provider model gives it a structural incentive to shift care toward cost-effective outpatient settings. The organization is expanding robotic surgery capabilities across Colorado, including at Franklin Medical Offices, to improve clinical outcomes and surgeon efficiency. A joint venture with Renown Health in northern Nevada — sharing ownership of Hometown Health and building a new outpatient delivery system — is targeted for full implementation by 2027. The 2024 acquisitions of Geisinger and Cone Health extended its integrated model into new regional markets.
8. Banner Health
• Headquarters: Phoenix, Arizona, U.S.
• Founded: 1999
• Employees: 60,000
• Focus: Outpatient surgery centers, hospital services, insurance, medical education and research
Banner Health operates 33 hospitals across six U.S. states and manages coverage for approximately 1 million insurance members, with over 400 outpatient sites distributed across its regional footprint. Recent outpatient investments include the Banner Cardiovascular Center — Arcadia in Phoenix, its first dedicated heart-focused outpatient center developed with academic faculty physicians, and the Banner Health Center Plus on its Scottsdale campus, which integrates an ambulatory surgery center with imaging, pharmacy, and multiple physician specialties under one roof.
9. Optum Inc.
• Headquarters: Eden Prairie, Minnesota, U.S.
• Founded: 2011
• Employees: 300,000
• Focus: Ambulatory care, primary care, specialty care, outpatient surgery, mental health services, wellness services
Optum serves more than 120 million people across the U.S. and has built its outpatient surgical strategy around coordination between primary care, specialists, and surgical facilities. Its partnership with SCA Health provides access to over 300 surgical locations nationwide; SCA Health itself operates more than 370 facilities including gastrointestinal centers and urology practices. The model emphasizes clinical independence within a multi- and single-specialty platform structure, combining Optum's scale and data infrastructure with SCA's operational and clinical expertise to drive quality and reduce cost.
10. AMSURG
• Headquarters: Nashville, Tennessee, U.S.
• Founded: 1992
• Focus: Outpatient surgical services, ambulatory surgery center management, patient-focused surgical care
AMSURG is a dedicated ambulatory surgery center operator with a national network built on localized operational management. Its approach combines sophisticated data analytics and quality reporting within a management framework designed to optimize clinical results and patient experience across multiple therapeutic service lines. As ASCs absorb a growing share of surgical volume previously held by hospital settings, AMSURG's single-focus model — concentrated entirely on the outpatient surgical environment — positions it to benefit directly from the structural shifts driving the broader market.
Conclusion
The outpatient surgical procedures market is not expanding uniformly — it is being actively built by organizations that recognize the structural advantages of ambulatory and community-based surgical care. The companies above represent a range of approaches: large integrated health systems accelerating migration of complex procedures, specialty ASC operators scaling national networks, academic centers pioneering technologies like histotripsy, and international private hospital groups serving rapidly growing Asian and European markets.
What connects them is the recognition that outpatient surgery has moved from a cost-cutting measure to the primary care delivery model for a growing range of procedures. With a market projected to reach $598.6 billion by 2031, the competitive pressure to expand outpatient capacity, adopt enabling technologies, and secure favorable reimbursement arrangements will only intensify across all the regions and segments shaping this industry.
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