The Surgery Center at Midlands Orthopaedics & Neurosurgery

What The Surgery Center at Midlands Orthopaedics & Neurosurgery does

The Surgery Center at Midlands Orthopaedics & Neurosurgery is a physician-owned ambulatory surgery center located in Columbia, South Carolina, opened in 2006 on the Blanding Street campus alongside the Midlands Orthopaedics & Neurosurgery multi-specialty medical group. The center provides outpatient surgical care in four primary service lines: orthopedic joint replacement, spine surgery, pain management, and urology. It targets patients requiring total hip, knee, shoulder, and ankle replacements, cervical and lumbar spine procedures, SI joint fusions, peripheral nerve stimulation, and select urological procedures, and positions itself on a value proposition of approximately 45% lower cost than equivalent hospital-based procedures, enabled by same-day discharge under minimally invasive and regional-anesthesia protocols.

The center's technical stack centers on Zimmer Biomet's ROSA Knee robotic surgical system (deployed in 2020 as the first in South Carolina), minimally invasive surgical techniques for spine and joint work, and an outpatient facility model supported by AAAHC accreditation and BlueCross BlueShield of South Carolina's Blue Distinction Center+ designation for Spine Surgery. It operates under a strategic partnership with Surgical Care Affiliates (SCA), a national operator of 200+ surgical facilities now part of the Optum ecosystem, which provides management infrastructure, quality councils, and clinical training systems in exchange for alignment with SCA's national best-practice model. The center's published clinical outcomes cover more than 3,399 joint replacement cases and 968 advanced spine cases performed between 2012 and 2020 with cumulative infection rates of 0.24% and 0.31%, respectively.

Revenue is generated primarily through facility fees billed transactionally to insurance providers and patients for the use of the operating rooms, equipment, and nursing staff; surgeons and specialists bill independently for professional services, with separate billing for anesthesia, radiology, pathology, and laboratory work. Pricing is not publicly disclosed but is anchored around the 45% cost advantage versus hospital outpatient settings, with patient balances due within 60 days and payment plans plus CareCredit available. The customer base is fragmented across individual surgical patients routed through the affiliated Midlands Orthopaedics & Neurosurgery physician network and external pain-management referrals, with no single payer or employer representing material volume concentration.

Name

The Surgery Center at Midlands Orthopaedics & Neurosurgery

Legal name

The Surgery Center at Midlands Orthopaedics & Neurosurgery

Website

https://surgerycenteratmidorthoneuro.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

51–100 employees

Short description

Physician-owned ambulatory surgery center in Columbia, South Carolina, providing outpatient orthopedic joint replacement, spine surgery, pain management, and urology procedures at approximately 45% lower cost than hospital settings, operated in partnership with Surgical Care Affiliates and utilizing Zimmer Biomet's ROSA Knee robotic system.

Ownership category

akta.pro rank

Product category

Ambulatory Surgical Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493), Offices of Physicians (62111)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Orthopedic & Spine Surgery Centers (HLAFAIAG)

akta.pro secondary industries

Pain Management & Interventional Procedure Centers (HLAFAIAH), Orthopedic Surgery (Operative Orthopedics) (HLAKALAC)

Keywords

• Ambulatory surgery services
• Outpatient surgical care
• Orthopedic joint replacement
• Minimally invasive spine surgery
• Robotic-assisted surgery

Headquarters

HQ city

Columbia

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales

Revenue model

1. Surgical Facility Services: The Surgery Center at Midlands Orthopaedics & Neurosurgery generates revenue through facility fees charged for outpatient surgical procedures. As an Ambulatory Surgery Center (ASC), it bills patients and insurance providers for the use of its surgical facilities, equipment, nursing staff, and related operational costs. The center is physician-owned, meaning physicians who perform surgeries at the center share in its financial success.
2. Physician Professional Fees: Surgeons and specialists bill independently for their professional services (performing the surgery). Separate billing occurs for anesthesiologist services, radiology, pathology, and laboratory services.
3. Insurance Reimbursement: The center accepts various insurance plans and bills insurance companies directly. Patients pay co-pays, deductibles, and co-insurance as applicable. The center notes costs are approximately 45% less than hospital settings, which translates to lower patient co-pays and insurance payouts.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

The Surgery Center at Midlands Orthopaedics & Neurosurgery is a physician-owned ambulatory surgery center that delivers outpatient surgical procedures in orthopaedics, spine, joint replacement, pain management, and urology. Procedures are performed using minimally invasive techniques, regional anesthesia, and rapid recovery protocols that enable same-day discharge, with robotic-assisted total knee replacement offered via Zimmer Biomet's ROSA Knee System. The center partners with Surgical Care Affiliates (SCA) and accepts major insurance plans, providing procedures at approximately 45% lower cost than equivalent hospital-based surgeries.

Product overview

The Surgery Center at Midlands Orthopaedics & Neurosurgery is an ambulatory surgery center (ASC) providing outpatient surgical care in partnership with Surgical Care Affiliates (SCA). The center offers a comprehensive Joint Replacement Program for same-day discharge total hip, knee, shoulder, and ankle replacements using robotic technology (ROSA Knee System), along with spine surgery, pain management, orthopedics, and urology services. The facility utilizes minimally invasive surgical techniques, regional anesthesia, and rapid recovery protocols to enable patients to return home the same day as surgery.

Differentiator

Problem solved

Functional benefit

Brands

• ROSA Knee System: Robotic technology for total knee replacement using Zimmer Biomet's ROSA Knee System

Products and services

• Joint Replacement Program Comprehensive outpatient joint replacement program enabling same-day discharge for total hip, knee, shoulder, and ankle replacements using minimally invasive surgical techniques, regional anesthesia, and rapid recovery protocols.
• ROSA Knee Robotic Total Knee Arthroplasty Robotic-assisted total knee replacement using Zimmer Biomet's ROSA Knee System, which uses pre-operative X-rays to create a 3D model of the knee, camera and optical trackers to guide implant placement, and robotic arm assistance for surgeons.
• Spine Surgery Comprehensive outpatient spine surgery services including cervical disc replacement, lumbar fusion, minimally invasive spine surgery, and sacroiliac joint fusion performed by neurosurgeons and orthopedic spine specialists.
• Pain Management Pain management services including peripheral nerve stimulator procedures, epidural steroid injections, and medication management for chronic pain conditions, with referrals accepted from providers outside the surgical practice.
• Orthopaedics General outpatient orthopedic surgery services covering foot and ankle, hand, shoulder, hip, knee, and trauma care delivered by board-certified orthopedic surgeons.
• Urology Outpatient urological surgical procedures including prostate treatments, microwave therapy, microscopic procedures, vasectomy, and incontinence surgery performed by urology specialists.

Quantifiable outcome

• 3,399 joint replacement cases performed from 2012-2020 with only 8 infections (0.24% cumulative infection rate)
• +4 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature3 records

Partnerships

Five partnerships are on record, tiered core and major.

• Zimmer BiometcoreTechnology or Integration · 1 January 2020The center uses Zimmer Biomet's ROSA Knee System for robotic-assisted total knee replacement surgery. The center was the first in South Carolina to use this technology, and multiple physicians (Dr. Bernard Kirol, Dr. James O'Leary, Dr. Silf Ulrich) have been trained and use the system.
• BlueCross BlueShield of South CarolinamajorChannel Partner/ Reseller/ Distributor · 1 January 2020BlueCross BlueShield of South Carolina selected the center as a Blue Distinction Center+ for Spine Surgery, part of the Blue Distinction Specialty Care program. This designation identifies the center as a quality and cost-efficient provider for insured patients.
• Surgical Care Affiliates (SCA)coreStrategic or Co-development PartnerThe Surgery Center at Midlands Orthopaedics & Neurosurgery is partnered with Surgical Care Affiliates (SCA), a national surgical solutions provider with 200+ surgical facilities across the country. SCA provides management, strategic planning, quality councils, clinical training systems, and shared best practices. SCA is described as the 'partner of choice for surgical care' and the company's vision is aligned with SCA's national network.
• NuVasivecoreTechnology or IntegrationThe center uses NuVasive implants and devices for spinal procedures. Dr. Seth Molloy performed the first cervical disc arthroplasty in South Carolina using the NuVasive Simplify Cervical Disc, and Dr. Ivan LaMotta performed the first 2-level NuVasive Simplify total disc replacement in the state.
• Midlands Orthopaedics & NeurosurgerycoreStrategic or Co-development PartnerMidlands Orthopaedics & Neurosurgery is a multi-specialty medical group formed when Columbia Neurosurgical Associates and Midlands Orthopaedics united to provide excellent patient care in a private practice setting. The surgery center is the affiliated outpatient surgical arm of this physician group. The group provides the surgeons and clinical staff for the surgery center.

Scale indicators7 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• Rothman Orthopaedic Institute: Large physician-owned orthopedic specialty group operating ASCs and orthopedic care centers across the Mid-Atlantic and expanding nationally. Comparable as a physician-owned, orthopedic-focused outpatient surgical platform with similar technology-forward positioning.

Broad incumbents

• Atrium Health (Advocate Health): Large Southeast US health system with significant outpatient, orthopedic, and ASC capabilities following its merger with Advocate Aurora. Comparable as a competitor pursuing ASC strategy in the same regional footprint.
• HCA Healthcare: One of the largest US hospital operators with a growing ASC and outpatient surgery footprint across the Southeast. Comparable as a competitor in orthopedic and spine outpatient surgery, with broader scale and employed-physician networks.
• Tenet Healthcare: Major hospital system and parent of USPI (largest ASC operator). Comparable as a competitor in ASC and outpatient orthopedic/spine services, with both hospital and ambulatory segments.

Direct peers

• United Surgical Partners International (USPI): USPI is one of the largest operators of ambulatory surgery centers in the US (subsidiary of Tenet Healthcare). Directly comparable as a multi-site ASC operator serving orthopedic and multi-specialty outpatient surgery in similar payer and referral dynamics.
• AMSURG (Envision Healthcare): National ambulatory surgery center operator with deep concentration in GI and ophthalmology but expanding into orthopedics and multispecialty. Comparable in ASC model, payer mix, and physician-partnership structure.
• Surgery Partners: Public ambulatory surgical facilities operator with 180+ locations across the US. Directly comparable in business model (physician partnership, facility-fee revenue, multi-specialty outpatient surgery) and customer base.
• Surgical Care Affiliates (SCA): SCA is the strategic partner and operational parent for Midlands, operating 200+ surgical facilities nationwide (now part of Optum). Directly comparable as an ASC operator in the same orthopedic, spine, and multi-specialty outpatient surgical categories.

Regional players

• Prisma Health: South Carolina's largest not-for-profit health system, headquartered in the Midlands/Upstate region. Direct regional competitor for orthopedic and spine outpatient surgical cases, particularly given its employed-physician network and ambulatory expansion strategy.
• Novant Health: Southeast US health system with a growing footprint in the Carolinas, including outpatient orthopedic and ASC services. Comparable as a regional competitor with adjacent geographic presence and similar patient demographics.

Market position

Strengths1 record

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xtwitter.com/SCA__Health
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• Facebookfacebook.com/The-Surgery-Center-at-Midlands-Orthopaedics-Neurosurgery-109973764162921
• LinkedInlinkedin.com/in/the-surgery-center-at-midlands-orthopaedics-and-neurosurgery-19615a1b5

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds1 record

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about The Surgery Center at Midlands Orthopaedics & Neurosurgery