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Ambulatory Surgery Center Valuation Calculator

Median 7.9x EBITDA across 154 real disclosed transactions. Three-field instant range, no signup.

Value your ambulatory surgery center

Get an instant valuation range for your business. Backed by 25,592 real M&A transactions.

Ambulatory Surgery CenterM&A benchmarks (current)

Median EV/EBITDA

7.9×

P25–P75: 6× – 9.9×

Median EV/Revenue

1.9×

P25–P75: 1.3× – 2.8×

Deal count (full sample)

154

Median deal value

$19.7M

How this calculator works

The ambulatory surgery center calculator pulls medians from 154 disclosed M&A transactions in our database, then applies adjustments specific to ambulatory surgery center businesses (margin vs the vertical median, growth trend, recurring revenue mix, owner dependency, customer concentration). Output is a tight range around the most-likely value, plus an honest per-deal error estimate based on real engine performance.

What drives premium multiples in ambulatory surgery center

  • Multi-specialty case mix (ortho + GI + pain management commands premium over single-specialty)
  • Commercial payer mix above 50% (USPI / SCA / HCA pay 1-2 turns more for commercial-heavy ASCs)
  • Surgeon ownership diversified across 5+ partners (kills key-doc concentration risk)

What compresses ambulatory surgery center multiples

  • Single specialty, single dominant surgeon (multiple compresses 30-50%)
  • Medicare-heavy mix above 60% (CMS rate cuts priced into offer)
  • Out-of-network billing dependency (No Surprises Act + payer pushback)

More on ambulatory surgery center valuations

Backed by 25,592 disclosed transactions from SEC filings, EDGAR 8-K/S-4, and verified press releases · methodology