Avanza Healthcare Strategies developed an interactive map showcasing the number of Medicare-certified ASCs in each state. Here are the 20 states with the fewest ASCs, as of 2016.
1. Vermont: 1
2. West Virginia: 9
3. Rhode Island: 11
4. North Dakota: 13
5. Alaska: 15
6. Maine: 16
7. Montana: 16
8. South Dakota: 19
9. Wyoming: 19
10. Hawaii: 20
11. New Mexico: 20
12. Delaware: 23
13. Iowa: 24
14. New Hampshire: 28
15. Kentucky: 33
16. Alabama: 36
17. Utah: 41
18. Connecticut: 45
19. Nebraska: 45
20. Virginia: 52