Clinic ACIBADEM City Clinic UMBAL Tokuda in Sofia

Cardiac surgery

• Alcohol septal ablation in hypertrophic obstructive cardiomyopathy — ≈ $2,525

• Angioplasty of the pulmonary artery — ≈ $2,050

• Aortic valve replacement (AVR) — ≈ $11,577

• Atrial septal defect (ASD) repair — ≈ $11,577

• Bio-prosthetic valve replacement — ≈ $16,671

• Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $9,267

• Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $5,990

• Catheter cardiac ablation — ≈ $4,763

• Catheter cryoablation — ≈ $6,712

• Change of defibrillator — ≈ $3,118

• Coarctectomy in children — ≈ $7,182

• Coronary artery bypass graft (CABG) — ≈ $11,577

• Double valve repair — ≈ $12,625

• Double valve replacement — ≈ $12,638

• Dual chamber pacemaker insertion — ≈ $4,906

• Electrophysiology study (EPS) — ≈ $1,463

• Fractional flow reserve (FFR) — ≈ $357

• Heart tumor surgery — ≈ $8,703

• Heart valve repair — ≈ $11,988

• Heart valve replacement — ≈ $12,952

• Implantable cardioverter-defibrillator implantation (ICD) — $0

• Insertion of one electrode for implanted pacemaker or defibrillator — ≈ $4,189

• Insertion of two electrodes for implanted pacemaker or defibrillator — $0

• Leadless Pacemaker implantation Micra and Nanostim — ≈ $5,524

• MAZE procedure — ≈ $7,279

• Management of ICD system — ≈ $648

• Management of pacemaker system — ≈ $329

• Mechanical valve replacement — ≈ $15,432

• Minimally invasive valvular heart surgery with valve repair or replacement — $0

• Mitral valve replacement (MVR) — ≈ $11,577

• Off-pump coronary artery bypass surgery — ≈ $10,564

• Open-heart intracardiac foreign body removal — ≈ $10,738

• Pacemaker replacement — ≈ $2,091

• Patent ductus arteriosus (PDA) open heart surgery in adults — ≈ $3,241

• Percutaneous coronary intervention (PCI) with angioplasty — ≈ $3,503

• Percutaneous coronary intervention (PCI) with stent insertion — ≈ $3,297

• Permanent pacemaker implantation — ≈ $1,187

• Pulmonary artery thromboendarterectomy — ≈ $5,315

• Radiofrequency ablation (RFA) — ≈ $7,472

• Redo heart surgery — ≈ $7,846

• Removal of permanent pacemaker — ≈ $2,575

• Repair of the ruptured sinuses of Valsalva — ≈ $7,916

• Rotational atherectomy — ≈ $1,062

• Septal myectomy — ≈ $6,975

• Single chamber pacemaker insertion — ≈ $4,233

• Surgery for tetralogy of Fallot (TOF) in adults — ≈ $4,976

• Surgical ventricular restoration (SVR) — ≈ $7,336

• Temporary pacemaker implantation — ≈ $442

• Transcatheter aortic valve replacement (TAVR) — ≈ $7,124

• Transcatheter pulmonary valve replacement (PVR) — ≈ $8,925

• Tricuspid valve replacement (TVR) — ≈ $8,006

• Ventricular assist device (LVAD, RVAD, BVAD) implantation — $0

• Ventricular septal defect (VSD) repair — ≈ $12,765

Vascular surgery

• Abdominal aortic aneurysm repair — ≈ $3,143

• Abdominal endovascular aneurysm repair (EVAR) — ≈ $9,302

• Angioplasty and stenting of visceral arteries (celiac trunk, superior mesenteric artery) — ≈ $2,727

• Angioplasty of the arteries of the lower or upper limbs — ≈ $2,330

• Angioplasty of the brachiocephalic vessels — ≈ $1,743

• Aortic arch replacement — ≈ $6,344

• Aortic reconstruction — ≈ $4,033

• Aortobifemoral stent grafting — ≈ $4,085

• Aortography — ≈ $594

• Aortoiliac allografting — ≈ $7,837

• Arteriovenous (AV) fistula surgery — ≈ $2,375

• Arteriovenous (AV) graft surgery — ≈ $1,833

• Arteriovenous malformations (AVM) embolization — ≈ $3,256

• Bentall surgery — ≈ $13,358

• Bilateral varicose veins surgery — ≈ $1,425

• Catheter embolization — ≈ $1,698

• Catheter-directed sclerotherapy (CDS) (Bilateral) — ≈ $556

• Catheter-directed sclerotherapy (CDS) (Unilateral) — ≈ $150

• Complex aortic surgery — ≈ $18,178

• Crossectomy — ≈ $594

• Crossectomy + Saphenous vein ligation and stripping + Side vein surgery — ≈ $1,231

• Crossectomy and side vein surgery — ≈ $1,760

• Cryosurgery of varicose veins — ≈ $1,553

• Embolization of peripheral arteries aneurysm — ≈ $5,696

• Endoscopic vein harvesting (EVH) for coronary artery bypass graft surgery (CABG) — ≈ $347

• Endovascular thrombectomy — ≈ $2,375

• Endovenous laser ablation (EVLA) for varicose vein (Bilateral) — ≈ $2,034

• Endovenous laser ablation (EVLA) for varicose vein (Unilateral) — ≈ $594

• Femoral-popliteal bypass graft surgery — ≈ $7,006

• Foam sclerotherapy (Bilateral) — ≈ $424

• Foam sclerotherapy (Unilateral) — ≈ $334

• Hybrid varicose veins treatment (open+endovascular) — $0

• Inferior vena cava (IVC) filter placement — ≈ $1,601

• Laser treatment for spider veins — ≈ $360

• Ligation of incompetent perforator veins — ≈ $354

• Mechanochemical Ablation (MOCA) — ≈ $1,203

• Pelvic vein embolization (PVE) — ≈ $1,291

• Peripheral artery angioplasty and stent placement — ≈ $2,375

• Peripheral artery bypass — ≈ $5,759

• Phlebectomy (including mini-phleboctomy) — ≈ $922

• Portocaval anastomosis — $0

• Prostatic artery embolization (PAE) — ≈ $1,140

• Radiofrequency ablation (RFA) for varicose veins (Bilateral) — ≈ $1,606

• Radiofrequency ablation (RFA) for varicose veins (Unilateral) — ≈ $1,070

• Reconstructive surgery for peripheral artery disease (PAD) — ≈ $5,131

• Renal arteries embolization (RAE) — ≈ $1,475

• Renal artery angioplasty and stenting — ≈ $2,375

• Renal artery bypass surgery — ≈ $4,305

• Ross operation — ≈ $11,978

• Secondary Cimino arteriovenous anastomosis surgery — ≈ $678

• Spider vein sclerotherapy — ≈ $233

• Surgical thrombectomy — ≈ $2,903

• Thoracic aortic aneurysm surgery — ≈ $7,988

• Thoracic endovascular aneurysm repair (TEVAR) — ≈ $9,174

• Unilateral varicose veins surgery — ≈ $1,102

• Uterine artery embolization (UAE) — ≈ $1,931

• Valve sparing root replacement (VSRR) — ≈ $6,185

• Varicose vein stripping (Unilateral) — ≈ $950

• Varicose veins treatment — ≈ $449

• Venaseal glue therapy of varicose vein (Bilateral) — ≈ $2,627

• Venaseal glue therapy of varicose vein (Unilateral) — ≈ $1,939

Thoracic surgery

• Atypical resections of the lung — ≈ $2,672

• Bilobectomy — ≈ $2,375

• Bronchoplastic surgery — ≈ $3,123

• Chest wall deformity correction — ≈ $2,647

• Combined heart-lung transplantation — $0

• Decortication — ≈ $2,467

• Diagnostic thoracoscopy — ≈ $1,129

• Diagnostic thoracotomy — ≈ $2,523

• Endoscopic thoracic sympathectomy (ETS) — ≈ $1,781

• Esophageal dilation — ≈ $447

• Esophageal stenting — ≈ $1,248

• Esophagocoloplasty — ≈ $1,658

• Extrapleural pneumonectomy (EPP) — ≈ $4,292

• Laparoscopic myotomy for achalasia — ≈ $1,325

• Lobectomy — ≈ $3,562

• Lung transplantation — $0

• Lung volume reduction surgery (LVRS) — $0

• Mediastinal cancer surgery — ≈ $2,826

• Mediastinoscopy — ≈ $2,433

• Mediastinotomy — $0

• Open chest surgery — ≈ $4,565

• Pancoast tumor surgery — ≈ $1,163

• Pneumonectomy — ≈ $3,376

• Removal of a malignant tumor of the chest wall — ≈ $1,623

• Repair of diaphragmatic hernia — ≈ $1,446

• Rib cancer surgical treatment — ≈ $1,843

• Sleeve lobectomy — ≈ $4,058

• Surgery for chest trauma — $0

• Surgery for lung cancer — ≈ $724

• Surgical removal of lung cyst (including hydatid cyst) — ≈ $2,550

• Thoracentesis — ≈ $297

• Thoracoplasty including sternoplasty — ≈ $2,688

• Thoracoscopic lung resection — ≈ $2,607

• Thymectomy — ≈ $2,968

• Trachea and air passages surgery — ≈ $5,280

• Video-assisted thoracic surgery (VATS) — ≈ $5,642

• Video-assisted thoracoscopic (VATS) lobectomy, bullectomy, bilobectomy — ≈ $3,634

• Wedge resection — ≈ $1,427

Neurosurgery

• Aqueductoplasty — $0

• Arteriovenous malformation (AVM) resection — ≈ $5,475

• Benign peripheral nerve tumor removal — ≈ $1,196

• Brachial plexus surgery — ≈ $3,928

• Brain aneurysm clipping — ≈ $6,649

• Brain aneurysm repair — ≈ $6,216

• Brain biopsy — ≈ $1,421

• Brain shunt surgery — ≈ $1,781

• Brain tumor embolization — ≈ $5,837

• Brain tumors surgery — ≈ $4,999

• Cavernous malformation treatment — ≈ $4,466

• Craniotomy — ≈ $537

• Embolization for cerebral arteriovenous malformation (AVM) — ≈ $7,657

• Endoscopic pituitary surgery — ≈ $4,750

• Endoscopic septostomy — ≈ $2,473

• Endoscopic third ventriculostomy (ETV) — ≈ $2,065

• Endovascular coiling for brain aneurysms — ≈ $7,667

• Endovascular stenting of cerebral vessels — ≈ $5,718

• Extra-intracranial arterial bypass (EIAB) — ≈ $9,382

• Extracranial CSF drainage — $0

• Facial nerve repair — ≈ $537

• Intracranial mechanical thrombectomy — ≈ $4,655

• Lumbar puncture — ≈ $308

• Microvascular decompression (MVD) — ≈ $4,662

• Nerve decompression surgery — ≈ $1,796

• Nerve graft repair — ≈ $1,948

• Peripheral nerve repair — ≈ $2,162

• Pipeline embolization procedure — $0

• Shunt revision — ≈ $2,338

• Surgery for an acoustic neuroma — ≈ $5,937

Spine surgery

• Anterior cervical discectomy and fusion (ACDF) — ≈ $5,291

• Anterior lumbar interbody fusion (ALIF) — ≈ $4,047

• Atlantoaxial fixation — ≈ $6,183

• Cervical fusion — ≈ $3,442

• Cervical laminectomy — ≈ $2,719

• Corpectomy + Spinal stabilisation — ≈ $3,663

• Device for intervertebral assisted motion (DIAM) — $0

• Discectomy — ≈ $2,968

• Foraminotomy — ≈ $2,043

• Hemivertebra excision — $0

• Instrumented spine stabilization — ≈ $2,495

• Interspinous fixation with implant — ≈ $3,370

• Laminectomy — ≈ $714

• Laminoplasty — ≈ $4,249

• Lateral access lumbar fusion — $0

• Lumbar fixation — ≈ $6,155

• Lumbar laminectomy — ≈ $3,068

• Lumbosacral plexus surgery — ≈ $7,361

• Occipitocervical fusion surgery — ≈ $4,160

• Percutaneous pedicle screw fixation — ≈ $2,713

• Posterior lumbar interbody fusion (PLIF) — ≈ $3,835

• Spina bifida treatment — $0

• Spinal cord herniation surgery — $0

• Spinal synovial cyst removal — ≈ $308

• Spine dynamic stabilization — ≈ $3,043

• Surgical spine procedures — ≈ $8,726

• Tailbone removal — $0

• Thoracic discectomy — ≈ $1,915

• Thoracic laminectomy — ≈ $2,078

• Thoracic spine fixation — ≈ $3,113

• Transforaminal lumbar interbody fusion (TLIF) — ≈ $7,515

Orthopedic surgery

• Ankle replacement — ≈ $5,102

• Bone lengthening — ≈ $2,075

• Corticosteroid injections of joints and soft tissues — $0

• Hyaluronic acid injection into the joint — ≈ $181

• Muscle transfer — $0

• Orthokine therapy — ≈ $876

• Platelet-rich plasma (PRP) injection into the ligament/joint — ≈ $197

• Tendon repair — ≈ $297

• Tendon transfer — ≈ $1,381

• Tenotomy — ≈ $150

• Total hip replacement (Unilateral) — ≈ $3,694

• Total knee replacement (Unilateral) — ≈ $3,694

• Total shoulder replacement — ≈ $2,375

• Wrist replacement — ≈ $537

Oncology

• Abdominoperineal resection (APR) — ≈ $6,747

• Adrenalectomy — ≈ $3,727

• Axillary lymphadenectomy — ≈ $920

• Bilateral adnexectomy — ≈ $773

• Brachytherapy for endometrial cancer — $0

• Brachytherapy for vaginal cancer — $0

• Breast reconstruction after mastectomy — ≈ $4,099

• Chemotherapy for bladder cancer — $0

• Chemotherapy for bone cancer — $0

• Chemotherapy for brain cancer — $0

• Chemotherapy for colorectal cancer — $0

• Chemotherapy for endometrial cancer — $0

• Chemotherapy for eye cancer — $0

• Chemotherapy for gallbladder cancer — $0

• Chemotherapy for head and neck cancer — $0

• Chemotherapy for kidney cancer — $0

• Chemotherapy for leukemia — $0

• Chemotherapy for liver cancer — $0

• Chemotherapy for lung cancer — $0

• Chemotherapy for lymphoma — $0

• Chemotherapy for melanoma — $0

• Chemotherapy for myeloma — $0

• Chemotherapy for neuroblastoma — $0

• Chemotherapy for neuroendocrine tumours (NETs) — $0

• Chemotherapy for non-melanoma skin cancer — $0

• Chemotherapy for ovarian cancer — $0

• Chemotherapy for pancreatic cancer — $0

• Chemotherapy for prostate cancer — $0

• Chemotherapy for soft tissue sarcoma — $0

• Chemotherapy for stomach cancer — $0

• Chemotherapy for testicular cancer — $0

• Chemotherapy for vaginal cancer — $0

• Chimeric antigen receptor (CAR) T-cell therapy — $0

• Cholecystectomy — ≈ $807

• Colon polypectomy — ≈ $542

• Colorectal endoscopic mucosal resection (EMR) — ≈ $1,016

• Conization — ≈ $150

• Cord blood stem cell transplantation — $0

• Cryotherapy for skin lesions — ≈ $688

• Cystectomy + Bladder reconstruction — ≈ $3,544

• Cystoprostatectomy — ≈ $2,299

• Da Vinci XI robotic system for cancer treatment — $0

• Debulking cytoreductive surgery — ≈ $4,330

• Distal gastric resection — ≈ $2,438

• Distal pancreatectomy — ≈ $5,508

• Double preventive mastectomy — ≈ $2,658

• Duodenectomy — ≈ $1,532

• Endometriosis surgery — ≈ $1,573

• Esophagogastrectomy — ≈ $23,446

• Extended cholecystectomy — ≈ $4,752

• Gastric endoscopic submucosal dissection (ESD) — ≈ $841

• Hartmann's operation — ≈ $2,367

• Hematopoietic stem cell harvest — $0

• Hemicolectomy — ≈ $3,242

• Hormone therapy for breast cancer — $0

• Hormone therapy for ovarian cancer — $0

• Hysteroscopic polypectomy — ≈ $1,057

• Immune checkpoint inhibitors — $0

• Inguinofemoral lymphadenectomy — ≈ $1,330

• Intensity-modulated radiation therapy (IMRT) — $0

• Intersphincteric resection (ISR) — ≈ $1,725

• Interstitial chemotherapy for brain tumors — $0

• Jejunostomy — ≈ $1,781

• Laparascopic myomectomy — ≈ $2,069

• Laparoscopic adnexectomy — ≈ $1,536

• Laparoscopic cholecystectomy — ≈ $1,603

• Laparoscopic ovarian cystectomy — ≈ $1,687

• Laparoscopically assisted vaginal hysterectomy (LAVH) — ≈ $2,279

• Laparoscopy-assisted supracervical hysterectomy (LASH) — ≈ $1,766

• Laproscopic total gastrectomy — ≈ $1,532

• Laser therapy for skin lesions — ≈ $692

• Loop electrosurgical excision procedure (LEEP) — ≈ $493

• Low anterior resection (LAR) — ≈ $2,722

• Lumpectomy — ≈ $1,255

• Major liver resection — ≈ $4,598

• Mediastinal lymphadenectomy — ≈ $995

• Melanoma surgical removal — ≈ $2,670

• Minor liver resection — ≈ $3,146

• Mohs surgery — ≈ $1,087

• Monoclonal antibodies therapy (mAbs) — $0

• Myomectomy — ≈ $1,395

• Natural killer (NK) cell therapy — $0

• Needle biopsy — ≈ $246

• Nephroureterectomy — ≈ $4,114

• Nipple and areola reconstruction — ≈ $916

• Non-anatomic liver resection (NAR) — ≈ $7,174

• Omentectomy — ≈ $857

• Open hysterectomy — ≈ $891

• Orchiectomy — ≈ $313

• Ovarian transposition — ≈ $650

• Pancreaticoduodenectomy — ≈ $8,312

• Partial cystectomy — ≈ $2,045

• Partial mastectomy — ≈ $654

• Partial penectomy — ≈ $1,673

• Partial vulvectomy — ≈ $1,218

• Pelvic bone resection — ≈ $3,011

• Pelvic lymphadenectomy — ≈ $1,820

• Proctocolectomy — ≈ $3,921

• Proximal gastric resection — ≈ $3,027

• Radiation therapy — $0

• Radiation therapy for breast cancer — $0

• Radical cystectomy — ≈ $2,364

• Radical mastectomy — ≈ $3,747

• Radical nephrectomy — ≈ $4,760

• Radical nephrectomy + Inferior vena cava (IVC) thrombectomy — ≈ $3,753

• Radical prostatectomy — ≈ $2,178

• Radical trachelectomy — ≈ $2,192

• Radical vulvectomy — ≈ $2,116

• Radiotherapy for cervical cancer — ≈ $1,988

• Radiotherapy for ovarian cancer — $0

• Rectum anterior resection — ≈ $4,629

• Removal of benign skin lesions — ≈ $270

• Retroperitoneal lymphadenectomy — ≈ $2,498

• Retroperitoneal tumor resection — ≈ $5,648

• Robot-assisted oncosurgery — $0

• Salpingectomy — ≈ $1,333

• Sentinel node biopsy — ≈ $1,672

• Sigmoidectomy — ≈ $3,238

• Simple mastectomy — ≈ $625

• Skin cancer surgery — ≈ $617

• Small bowel resection — ≈ $3,201

• Soft tissue tumor removal — ≈ $2,391

• Splenectomy — ≈ $2,522

• Stem cell transplant (peripheral blood) — $0

• Subcutaneous mastectomy — ≈ $1,558

• Subtotal gastrectomy — ≈ $1,379

• Surgery for bone cancer — ≈ $1,247

• Surgical breast biopsy — ≈ $775

• TRAM flap breast reconstruction — ≈ $7,020

• Targeted therapy — $0

• Total colectomy — ≈ $1,379

• Total esophagectomy — ≈ $1,532

• Total gastrectomy — ≈ $3,859

• Total laparoscopic hysterectomy (TLH) — ≈ $477

• Total laparoscopic hysterectomy (TLH) + Bilateral adnexectomy — ≈ $2,739

• Total pancreatectomy — ≈ $3,254

• Total parietal peritonectomy — $0

• Total penectomy — ≈ $700

• Total skin electron therapy (TSET) — $0

• Transanal endoscopic microsurgery (TEM) — ≈ $730

• Transurethral incision of the prostate (TUIP) — ≈ $1,426

• Transurethral resection of bladder tumor (TURBT) — ≈ $581

• Transurethral resection of the prostate (TURP) — ≈ $594

• Tumor-infiltrating lymphocyte (TIL) therapy — $0

• Ureteral cancer surgery — $0

• Urethral cancer surgery — ≈ $594

• Vacuum-assisted breast biopsy — ≈ $865

• Vaginal hysterectomy — ≈ $2,518

• Vaginectomy — ≈ $1,448