Ambulatory surgery and emergency care services for government health programs. Find active federal and state freestanding ambulatory surgical and emergency centers contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Federal spending under NAICS 621493 is estimated at $2-3 billion annually, driven primarily by the VA, DoD (TRICARE), and IHS. Demand stems from active-duty, veteran, and Native American populations requiring ambulatory surgery and emergency care. Contracts are typically structured as BPAs or IDIQs with fixed-price-per-procedure rates, awarded competitively via LPTA or best-value tradeoff. The market is moderately concentrated, with both large hospital systems and specialized surgery centers competing. Growth is fueled by aging beneficiary populations and policy emphasis on outpatient care. Small businesses face stiff competition but can differentiate through rural/underserved area focus.
These agencies are the largest buyers of freestanding ambulatory surgical and emergency centers services and products in the federal government. Each awards contracts under NAICS 621493 regularly — build relationships with their small business offices first.
To win 621493 contracts, focus on VA and IHS BPAs that prioritize past performance in similar settings. Most awards use SDVOSB or HUBZone set-asides; ensure your certifications are current. The highest-leverage move is to obtain a GSA Schedule 621I (or similar) and secure a prime spot on a regional VA BPA for ambulatory surgery. Build relationships with local VA medical center contracting officers and demonstrate capacity for high-volume, low-acuity procedures. Avoid bidding on broad IDIQs without specific facility capacity.
Most 621493 work is bought via agency-specific IDIQs or BPAs (VA Community Care Network, DoD TRICARE network). GSA Schedule 621I (Professional & Allied Healthcare Services) is common for ASC services. Evaluation is typically best-value tradeoff, emphasizing past performance, quality metrics, and price per procedure. LPTA is used for standardized procedures. 8(a) STARS III is less common but available for small business set-asides.
You need a state license as an ambulatory surgical center (ASC) and Medicare certification. For VA contracts, you must also meet VA outpatient surgical standards and have a current CLIA waiver or certificate.
Performance bonds are rarely required for service contracts under $150,000. For larger IDIQs or BPAs, the government may request a payment bond if advance payments are involved, but typically not for fixed-price-per-procedure work.
SDVOSB and HUBZone certifications are most valuable for VA and IHS contracts. 8(a) and WOSB are less common but can help with DoD TRICARE awards. Ensure SAM and DSBS profiles list your NAICS code and past performance.
Individual BPAs range from $500k to $5 million annually, but IDIQs can reach $50 million over 5 years. Most awards are for specific procedures (e.g., cataract, colonoscopy) with estimated quantities.
Yes, primes often subcontract ASC procedures to smaller centers. However, you must register as a subcontractor in the prime's system and meet the same licensing and quality standards. Subcontracting is common for rural area coverage.