Clinic ACIBADEM City Clinic UMBAL Tokuda in Sofia

Cardiac surgery

• Alcohol septal ablation in hypertrophic obstructive cardiomyopathy — ≈ $2,548

• Angioplasty of the pulmonary artery — ≈ $2,066

• Aortic valve replacement (AVR) — ≈ $11,677

• Atrial septal defect (ASD) repair — ≈ $11,677

• Bio-prosthetic valve replacement — ≈ $16,629

• Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $9,350

• Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $6,043

• Catheter cardiac ablation — ≈ $4,801

• Catheter cryoablation — ≈ $6,772

• Change of defibrillator — ≈ $3,146

• Coarctectomy in children — ≈ $7,218

• Coronary artery bypass graft (CABG) — ≈ $11,677

• Double valve repair — ≈ $12,607

• Double valve replacement — ≈ $12,726

• Dual chamber pacemaker insertion — ≈ $4,933

• Electrophysiology study (EPS) — ≈ $1,476

• Fractional flow reserve (FFR) — ≈ $360

• Heart tumor surgery — ≈ $8,780

• Heart valve repair — ≈ $12,034

• Heart valve replacement — ≈ $13,055

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

• Insertion of one electrode for implanted pacemaker or defibrillator — ≈ $4,225

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

• Leadless Pacemaker implantation Micra and Nanostim — ≈ $5,573

• MAZE procedure — ≈ $7,340

• Management of ICD system — ≈ $653

• Management of pacemaker system — ≈ $331

• Mechanical valve replacement — ≈ $15,438

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

• Mitral valve replacement (MVR) — ≈ $11,677

• Off-pump coronary artery bypass surgery — ≈ $10,620

• Open-heart intracardiac foreign body removal — ≈ $10,832

• Pacemaker replacement — ≈ $2,110

• Patent ductus arteriosus (PDA) open heart surgery in adults — ≈ $3,271

• Percutaneous coronary intervention (PCI) with angioplasty — ≈ $3,533

• Percutaneous coronary intervention (PCI) with stent insertion — ≈ $3,326

• Permanent pacemaker implantation — ≈ $1,198

• Pulmonary artery thromboendarterectomy — ≈ $5,365

• Radiofrequency ablation (RFA) — ≈ $7,534

• Redo heart surgery — ≈ $7,871

• Removal of permanent pacemaker — ≈ $2,597

• Repair of the ruptured sinuses of Valsalva — ≈ $7,917

• Rotational atherectomy — ≈ $1,070

• Septal myectomy — ≈ $7,039

• Single chamber pacemaker insertion — ≈ $4,256

• Surgery for tetralogy of Fallot (TOF) in adults — ≈ $5,020

• Surgical ventricular restoration (SVR) — ≈ $7,401

• Temporary pacemaker implantation — ≈ $446

• Transcatheter aortic valve replacement (TAVR) — ≈ $7,186

• Transcatheter pulmonary valve replacement (PVR) — ≈ $9,005

• Tricuspid valve replacement (TVR) — ≈ $7,994

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

• Ventricular septal defect (VSD) repair — ≈ $12,875

Vascular surgery

• Abdominal aortic aneurysm repair — ≈ $3,170

• Abdominal endovascular aneurysm repair (EVAR) — ≈ $9,382

• Angioplasty and stenting of visceral arteries (celiac trunk, superior mesenteric artery) — ≈ $2,750

• Angioplasty of the arteries of the lower or upper limbs — ≈ $2,350

• Angioplasty of the brachiocephalic vessels — ≈ $1,760

• Aortic arch replacement — ≈ $6,396

• Aortic reconstruction — ≈ $4,069

• Aortobifemoral stent grafting — ≈ $4,123

• Aortography — ≈ $599

• Aortoiliac allografting — ≈ $7,905

• Arteriovenous (AV) fistula surgery — ≈ $2,395

• Arteriovenous (AV) graft surgery — ≈ $1,849

• Arteriovenous malformations (AVM) embolization — ≈ $3,282

• Bentall surgery — ≈ $13,474

• Bilateral varicose veins surgery — ≈ $1,438

• Catheter embolization — ≈ $1,713

• Catheter-directed sclerotherapy (CDS) (Bilateral) — ≈ $561

• Catheter-directed sclerotherapy (CDS) (Unilateral) — ≈ $151

• Complex aortic surgery — ≈ $18,336

• Crossectomy — ≈ $599

• Crossectomy + Saphenous vein ligation and stripping + Side vein surgery — ≈ $1,240

• Crossectomy and side vein surgery — ≈ $1,775

• Cryosurgery of varicose veins — ≈ $1,567

• Embolization of peripheral arteries aneurysm — ≈ $5,743

• Endoscopic vein harvesting (EVH) for coronary artery bypass graft surgery (CABG) — ≈ $350

• Endovascular thrombectomy — ≈ $2,395

• Endovenous laser ablation (EVLA) for varicose vein (Bilateral) — ≈ $2,051

• Endovenous laser ablation (EVLA) for varicose vein (Unilateral) — ≈ $599

• Femoral-popliteal bypass graft surgery — ≈ $7,066

• Foam sclerotherapy (Bilateral) — ≈ $428

• Foam sclerotherapy (Unilateral) — ≈ $336

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

• Inferior vena cava (IVC) filter placement — ≈ $1,615

• Laser treatment for spider veins — ≈ $363

• Ligation of incompetent perforator veins — ≈ $356

• Mechanochemical Ablation (MOCA) — ≈ $1,214

• Pelvic vein embolization (PVE) — ≈ $1,302

• Peripheral artery angioplasty and stent placement — ≈ $2,395

• Peripheral artery bypass — ≈ $5,784

• Phlebectomy (including mini-phleboctomy) — ≈ $930

• Portocaval anastomosis — $0

• Prostatic artery embolization (PAE) — ≈ $1,150

• Radiofrequency ablation (RFA) for varicose veins (Bilateral) — ≈ $1,620

• Radiofrequency ablation (RFA) for varicose veins (Unilateral) — ≈ $1,080

• Reconstructive surgery for peripheral artery disease (PAD) — ≈ $5,176

• Renal arteries embolization (RAE) — ≈ $1,488

• Renal artery angioplasty and stenting — ≈ $2,395

• Renal artery bypass surgery — ≈ $4,343

• Ross operation — ≈ $12,085

• Secondary Cimino arteriovenous anastomosis surgery — ≈ $683

• Spider vein sclerotherapy — ≈ $235

• Surgical thrombectomy — ≈ $2,926

• Thoracic aortic aneurysm surgery — ≈ $8,055

• Thoracic endovascular aneurysm repair (TEVAR) — ≈ $9,253

• Unilateral varicose veins surgery — ≈ $1,112

• Uterine artery embolization (UAE) — ≈ $1,948

• Valve sparing root replacement (VSRR) — ≈ $6,242

• Varicose vein stripping (Unilateral) — ≈ $959

• Varicose veins treatment — ≈ $453

• Venaseal glue therapy of varicose vein (Bilateral) — ≈ $2,649

• Venaseal glue therapy of varicose vein (Unilateral) — ≈ $1,956

Thoracic surgery

• Atypical resections of the lung — ≈ $2,696

• Bilobectomy — ≈ $2,395

• Bronchoplastic surgery — ≈ $3,150

• Chest wall deformity correction — ≈ $2,612

• Combined heart-lung transplantation — $0

• Decortication — ≈ $2,486

• Diagnostic thoracoscopy — ≈ $1,138

• Diagnostic thoracotomy — ≈ $2,545

• Endoscopic thoracic sympathectomy (ETS) — ≈ $1,797

• Esophageal dilation — ≈ $451

• Esophageal stenting — ≈ $1,259

• Esophagocoloplasty — ≈ $1,639

• Extrapleural pneumonectomy (EPP) — ≈ $4,331

• Laparoscopic myotomy for achalasia — ≈ $1,334

• Lobectomy — ≈ $3,593

• Lung transplantation — $0

• Lung volume reduction surgery (LVRS) — $0

• Mediastinal cancer surgery — ≈ $2,850

• Mediastinoscopy — ≈ $2,455

• Mediastinotomy — $0

• Open chest surgery — ≈ $4,606

• Pancoast tumor surgery — ≈ $1,174

• Pneumonectomy — ≈ $3,404

• Removal of a malignant tumor of the chest wall — ≈ $1,636

• Repair of diaphragmatic hernia — ≈ $1,459

• Rib cancer surgical treatment — ≈ $1,858

• Sleeve lobectomy — ≈ $4,094

• Surgery for chest trauma — $0

• Surgery for lung cancer — ≈ $731

• Surgical removal of lung cyst (including hydatid cyst) — ≈ $2,573

• Thoracentesis — ≈ $299

• Thoracoplasty including sternoplasty — ≈ $2,711

• Thoracoscopic lung resection — ≈ $2,630

• Thymectomy — ≈ $2,994

• Trachea and air passages surgery — ≈ $5,327

• Video-assisted thoracic surgery (VATS) — ≈ $5,690

• Video-assisted thoracoscopic (VATS) lobectomy, bullectomy, bilobectomy — ≈ $3,666

• Wedge resection — ≈ $1,439

Neurosurgery

• Aqueductoplasty — $0

• Arteriovenous malformation (AVM) resection — ≈ $5,523

• Benign peripheral nerve tumor removal — ≈ $1,206

• Brachial plexus surgery — ≈ $3,960

• Brain aneurysm clipping — ≈ $6,707

• Brain aneurysm repair — ≈ $6,250

• Brain biopsy — ≈ $1,433

• Brain shunt surgery — ≈ $1,797

• Brain tumor embolization — ≈ $5,888

• Brain tumors surgery — ≈ $5,024

• Cavernous malformation treatment — ≈ $4,506

• Craniotomy — ≈ $541

• Embolization for cerebral arteriovenous malformation (AVM) — ≈ $7,720

• Endoscopic pituitary surgery — ≈ $4,791

• Endoscopic septostomy — ≈ $2,496

• Endoscopic third ventriculostomy (ETV) — ≈ $2,084

• Endovascular coiling for brain aneurysms — ≈ $7,735

• Endovascular stenting of cerebral vessels — ≈ $5,770

• Extra-intracranial arterial bypass (EIAB) — ≈ $9,467

• Extracranial CSF drainage — $0

• Facial nerve repair — ≈ $542

• Intracranial mechanical thrombectomy — ≈ $4,697

• Lumbar puncture — ≈ $310

• Microvascular decompression (MVD) — ≈ $4,692

• Nerve decompression surgery — ≈ $1,811

• Nerve graft repair — ≈ $1,964

• Peripheral nerve repair — ≈ $2,181

• Pipeline embolization procedure — $0

• Shunt revision — ≈ $2,359

• Surgery for an acoustic neuroma — ≈ $5,988

Spine surgery

• Anterior cervical discectomy and fusion (ACDF) — ≈ $5,337

• Anterior lumbar interbody fusion (ALIF) — ≈ $4,083

• Atlantoaxial fixation — ≈ $6,237

• Cervical fusion — ≈ $3,471

• Cervical laminectomy — ≈ $2,741

• Corpectomy + Spinal stabilisation — ≈ $3,693

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

• Discectomy — ≈ $2,994

• Foraminotomy — ≈ $2,060

• Hemivertebra excision — $0

• Instrumented spine stabilization — ≈ $2,516

• Interspinous fixation with implant — ≈ $3,399

• Laminectomy — ≈ $720

• Laminoplasty — ≈ $4,285

• Lateral access lumbar fusion — $0

• Lumbar fixation — ≈ $6,213

• Lumbar laminectomy — ≈ $3,093

• Lumbosacral plexus surgery — ≈ $7,420

• Occipitocervical fusion surgery — ≈ $4,196

• Percutaneous pedicle screw fixation — ≈ $2,737

• Posterior lumbar interbody fusion (PLIF) — ≈ $3,868

• Spina bifida treatment — $0

• Spinal cord herniation surgery — $0

• Spinal synovial cyst removal — ≈ $311

• Spine dynamic stabilization — ≈ $3,066

• Surgical spine procedures — ≈ $8,802

• Tailbone removal — $0

• Thoracic discectomy — ≈ $1,931

• Thoracic laminectomy — ≈ $2,096

• Thoracic spine fixation — ≈ $3,139

• Transforaminal lumbar interbody fusion (TLIF) — ≈ $7,612

Orthopedic surgery

• Ankle replacement — ≈ $5,138

• Bone lengthening — ≈ $2,093

• Corticosteroid injections of joints and soft tissues — $0

• Hyaluronic acid injection into the joint — ≈ $182

• Muscle transfer — $0

• Orthokine therapy — ≈ $876

• Platelet-rich plasma (PRP) injection into the ligament/joint — ≈ $198

• Tendon repair — ≈ $299

• Tendon transfer — ≈ $1,393

• Tenotomy — ≈ $151

• Total hip replacement (Unilateral) — ≈ $3,726

• Total knee replacement (Unilateral) — ≈ $3,726

• Total shoulder replacement — ≈ $2,395

• Wrist replacement — ≈ $541

Oncology

• Abdominoperineal resection (APR) — ≈ $6,773

• Adrenalectomy — ≈ $3,759

• Axillary lymphadenectomy — ≈ $922

• Bilateral adnexectomy — ≈ $780

• Brachytherapy for endometrial cancer — $0

• Brachytherapy for vaginal cancer — $0

• Breast reconstruction after mastectomy — ≈ $4,140

• 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 — ≈ $814

• Colon polypectomy — ≈ $546

• Colorectal endoscopic mucosal resection (EMR) — ≈ $1,038

• Conization — ≈ $151

• Cord blood stem cell transplantation — $0

• Cryotherapy for skin lesions — ≈ $690

• Cystectomy + Bladder reconstruction — ≈ $3,575

• Cystoprostatectomy — ≈ $2,318

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

• Debulking cytoreductive surgery — ≈ $4,365

• Distal gastric resection — ≈ $2,461

• Distal pancreatectomy — ≈ $5,540

• Double preventive mastectomy — ≈ $2,681

• Duodenectomy — ≈ $1,545

• Endometriosis surgery — ≈ $1,586

• Esophagogastrectomy — ≈ $23,651

• Extended cholecystectomy — ≈ $4,807

• Gastric endoscopic submucosal dissection (ESD) — ≈ $850

• Hartmann's operation — ≈ $2,387

• Hematopoietic stem cell harvest — $0

• Hemicolectomy — ≈ $3,271

• Hormone therapy for breast cancer — $0

• Hormone therapy for ovarian cancer — $0

• Hysteroscopic polypectomy — ≈ $1,066

• Immune checkpoint inhibitors — $0

• Inguinofemoral lymphadenectomy — ≈ $1,342

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

• Intersphincteric resection (ISR) — ≈ $1,741

• Interstitial chemotherapy for brain tumors — $0

• Jejunostomy — ≈ $1,797

• Laparascopic myomectomy — ≈ $2,374

• Laparoscopic adnexectomy — ≈ $1,549

• Laparoscopic cholecystectomy — ≈ $1,617

• Laparoscopic ovarian cystectomy — ≈ $1,702

• Laparoscopically assisted vaginal hysterectomy (LAVH) — ≈ $2,299

• Laparoscopy-assisted supracervical hysterectomy (LASH) — ≈ $1,781

• Laproscopic total gastrectomy — ≈ $1,545

• Laser therapy for skin lesions — ≈ $696

• Loop electrosurgical excision procedure (LEEP) — ≈ $497

• Low anterior resection (LAR) — ≈ $2,742

• Lumpectomy — ≈ $1,265

• Major liver resection — ≈ $4,637

• Mediastinal lymphadenectomy — ≈ $1,003

• Melanoma surgical removal — ≈ $2,688

• Minor liver resection — ≈ $3,174

• Mohs surgery — ≈ $1,097

• Monoclonal antibodies therapy (mAbs) — $0

• Myomectomy — ≈ $1,408

• Natural killer (NK) cell therapy — $0

• Needle biopsy — ≈ $249

• Nephroureterectomy — ≈ $4,149

• Nipple and areola reconstruction — ≈ $924

• Non-anatomic liver resection (NAR) — ≈ $7,240

• Omentectomy — ≈ $864

• Open hysterectomy — ≈ $898

• Orchiectomy — ≈ $316

• Ovarian transposition — ≈ $656

• Pancreaticoduodenectomy — ≈ $8,384

• Partial cystectomy — ≈ $2,063

• Partial mastectomy — ≈ $659

• Partial penectomy — ≈ $1,687

• Partial vulvectomy — ≈ $1,228

• Pelvic bone resection — ≈ $3,036

• Pelvic lymphadenectomy — ≈ $1,834

• Proctocolectomy — ≈ $3,956

• Proximal gastric resection — ≈ $3,052

• Radiation therapy — $0

• Radiation therapy for breast cancer — $0

• Radical cystectomy — ≈ $2,384

• Radical mastectomy — ≈ $3,776

• Radical nephrectomy — ≈ $4,800

• Radical nephrectomy + Inferior vena cava (IVC) thrombectomy — ≈ $3,786

• Radical prostatectomy — ≈ $2,197

• Radical trachelectomy — ≈ $2,210

• Radical vulvectomy — ≈ $2,134

• Radiotherapy for cervical cancer — ≈ $2,003

• Radiotherapy for ovarian cancer — $0

• Rectum anterior resection — ≈ $4,661

• Removal of benign skin lesions — ≈ $272

• Retroperitoneal lymphadenectomy — ≈ $2,520

• Retroperitoneal tumor resection — ≈ $5,696

• Robot-assisted oncosurgery — $0

• Salpingectomy — ≈ $1,344

• Sentinel node biopsy — ≈ $1,686

• Sigmoidectomy — ≈ $3,264

• Simple mastectomy — ≈ $630

• Skin cancer surgery — ≈ $623

• Small bowel resection — ≈ $3,230

• Soft tissue tumor removal — ≈ $2,412

• Splenectomy — ≈ $2,544

• Stem cell transplant (peripheral blood) — $0

• Subcutaneous mastectomy — ≈ $1,571

• Subtotal gastrectomy — ≈ $1,391

• Surgery for bone cancer — ≈ $1,258

• Surgical breast biopsy — ≈ $775

• TRAM flap breast reconstruction — ≈ $7,080

• Targeted therapy — $0

• Total colectomy — ≈ $1,391

• Total esophagectomy — ≈ $1,545

• Total gastrectomy — ≈ $3,892

• Total laparoscopic hysterectomy (TLH) — ≈ $481

• Total laparoscopic hysterectomy (TLH) + Bilateral adnexectomy — ≈ $2,762

• Total pancreatectomy — ≈ $3,278

• Total parietal peritonectomy — $0

• Total penectomy — ≈ $706

• Total skin electron therapy (TSET) — $0

• Transanal endoscopic microsurgery (TEM) — ≈ $736

• Transurethral incision of the prostate (TUIP) — ≈ $1,437

• Transurethral resection of bladder tumor (TURBT) — ≈ $586

• Transurethral resection of the prostate (TURP) — ≈ $599

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

• Ureteral cancer surgery — $0

• Urethral cancer surgery — ≈ $599

• Vacuum-assisted breast biopsy — ≈ $872

• Vaginal hysterectomy — ≈ $2,537

• Vaginectomy — ≈ $1,460