Acibadem City Clinic UMHAT Tokuda is the largest medical institution in Bulgaria, built and developed with private investment. It was opened in 2006 as part of the health group of Japanese doctor and entrepreneur Dr. Torao Tokuda. Since 2016 it is part of the largest group of medical institutions in the country - Acibadem City Clinic . The hospital is located in Sofia in the southern part of Lozenets district on 27 thousand square meters (52 thousand square meters). There are 575 beds in 37 clinics and wards, 3 medical diagnostic laboratories, 22 operating rooms, hospice, emergency department, clinical research center. The structure of the medical institution is multidisciplinary and offers comprehensive health care in almost all medical fields. The largest diagnostic and consulting center in the country - Acibadem City Clinic DCC Tokuda - also operates on its territory .
Cardiac surgery
- Alcohol septal ablation in hypertrophic obstructive cardiomyopathy — ≈ $2,761
- Angioplasty of the pulmonary artery — ≈ $2,227
- Aortic valve replacement (AVR) — ≈ $12,700
- Atrial septal defect (ASD) repair — ≈ $12,700
- Bio-prosthetic valve replacement — ≈ $18,165
- Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $10,080
- Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $6,566
- Catheter cardiac ablation — ≈ $5,235
- Catheter cryoablation — ≈ $8,243
- Change of defibrillator — ≈ $3,423
- Coarctectomy in children — ≈ $7,871
- Coronary artery bypass graft (CABG) — ≈ $12,700
- Double valve repair — ≈ $13,768
- Double valve replacement — ≈ $13,361
- Dual chamber pacemaker insertion — ≈ $5,347
- Electrophysiology study (EPS) — ≈ $1,600
- Fractional flow reserve (FFR) — ≈ $394
- Heart tumor surgery — ≈ $9,521
- Heart valve repair — ≈ $12,962
- Heart valve replacement — ≈ $14,037
- Implantable cardioverter-defibrillator implantation (ICD) — $0
- Insertion of one electrode for implanted pacemaker or defibrillator — ≈ $4,566
- Insertion of two electrodes for implanted pacemaker or defibrillator — $0
- Leadless Pacemaker implantation Micra and Nanostim — ≈ $5,945
- MAZE procedure — ≈ $7,932
- Management of ICD system — ≈ $707
- Management of pacemaker system — ≈ $359
- Mechanical valve replacement — ≈ $16,541
- Minimally invasive valvular heart surgery with valve repair or replacement — $0
- Mitral valve replacement (MVR) — ≈ $12,700
- Off-pump coronary artery bypass surgery — ≈ $11,556
- Open-heart intracardiac foreign body removal — ≈ $11,783
- Pacemaker replacement — ≈ $2,296
- Patent ductus arteriosus (PDA) open heart surgery in adults — ≈ $3,562
- Percutaneous coronary intervention (PCI) with angioplasty — ≈ $3,844
- Percutaneous coronary intervention (PCI) with stent insertion — ≈ $3,619
- Permanent pacemaker implantation — ≈ $1,304
- Pulmonary artery thromboendarterectomy — ≈ $5,842
- Radiofrequency ablation (RFA) — ≈ $7,999
- Redo heart surgery — ≈ $8,075
- Removal of permanent pacemaker — ≈ $2,818
- Repair of the ruptured sinuses of Valsalva — ≈ $8,589
- Rotational atherectomy — ≈ $1,157
- Septal myectomy — ≈ $7,665
- Single chamber pacemaker insertion — ≈ $4,570
- Surgery for tetralogy of Fallot (TOF) in adults — ≈ $5,439
- Surgical ventricular restoration (SVR) — ≈ $8,053
- Temporary pacemaker implantation — ≈ $486
- Transcatheter aortic valve replacement (TAVR) — ≈ $7,817
- Transcatheter pulmonary valve replacement (PVR) — ≈ $9,786
- Tricuspid valve replacement (TVR) — ≈ $8,679
- Ventricular assist device (LVAD, RVAD, BVAD) implantation — $0
- Ventricular septal defect (VSD) repair — ≈ $14,004
Thoracic surgery
- Atypical resections of the lung — ≈ $3,217
- Bilobectomy — ≈ $2,608
- Bronchoplastic surgery — ≈ $3,429
- Chest wall deformity correction — ≈ $2,911
- Combined heart-lung transplantation — $0
- Decortication — ≈ $2,673
- Diagnostic thoracoscopy — ≈ $1,238
- Diagnostic thoracotomy — ≈ $2,770
- Endoscopic thoracic sympathectomy (ETS) — ≈ $1,954
- Esophageal dilation — ≈ $492
- Esophageal stenting — ≈ $1,372
- Esophagocoloplasty — ≈ $1,846
- Extrapleural pneumonectomy (EPP) — ≈ $4,722
- Laparoscopic myotomy for achalasia — ≈ $1,421
- Lobectomy — ≈ $3,909
- Lung transplantation — $0
- Lung volume reduction surgery (LVRS) — $0
- Mediastinal cancer surgery — ≈ $3,091
- Mediastinoscopy — ≈ $2,674
- Mediastinotomy — $0
- Open chest surgery — ≈ $5,024
- Pancoast tumor surgery — ≈ $1,279
- Pneumonectomy — ≈ $3,682
- Removal of a malignant tumor of the chest wall — ≈ $1,763
- Repair of diaphragmatic hernia — ≈ $1,589
- Rib cancer surgical treatment — ≈ $2,014
- Sleeve lobectomy — ≈ $4,461
- Surgery for chest trauma — $0
- Surgery for lung cancer — ≈ $795
- Surgical removal of lung cyst (including hydatid cyst) — ≈ $2,801
- Thoracentesis — ≈ $327
- Thoracoplasty including sternoplasty — ≈ $2,941
- Thoracoscopic lung resection — ≈ $2,867
- Thymectomy — ≈ $3,258
- Trachea and air passages surgery — ≈ $5,805
- Video-assisted thoracic surgery (VATS) — ≈ $6,210
- Video-assisted thoracoscopic (VATS) lobectomy, bullectomy, bilobectomy — ≈ $3,995
- Wedge resection — ≈ $1,566
Vascular surgery
- Abdominal aortic aneurysm repair — ≈ $3,448
- Abdominal endovascular aneurysm repair (EVAR) — ≈ $10,196
- Angioplasty and stenting of visceral arteries (celiac trunk, superior mesenteric artery) — ≈ $2,987
- Angioplasty of the arteries of the lower or upper limbs — ≈ $2,557
- Angioplasty of the brachiocephalic vessels — ≈ $1,916
- Aortic arch replacement — ≈ $6,897
- Aortic reconstruction — ≈ $4,431
- Aortobifemoral stent grafting — ≈ $4,489
- Aortography — ≈ $653
- Aortoiliac allografting — ≈ $8,600
- Arteriovenous (AV) fistula surgery — ≈ $2,608
- Arteriovenous (AV) graft surgery — ≈ $2,017
- Arteriovenous malformations (AVM) embolization — ≈ $3,603
- Bentall surgery — ≈ $14,655
- Bilateral varicose veins surgery — ≈ $1,506
- Catheter embolization — ≈ $1,858
- Catheter-directed sclerotherapy (CDS) (Bilateral) — ≈ $612
- Catheter-directed sclerotherapy (CDS) (Unilateral) — ≈ $165
- Complex aortic surgery — ≈ $19,944
- Crossectomy — ≈ $653
- Crossectomy + Saphenous vein ligation and stripping + Side vein surgery — ≈ $1,357
- Crossectomy and side vein surgery — ≈ $1,933
- Cryosurgery of varicose veins — ≈ $1,707
- Embolization of peripheral arteries aneurysm — ≈ $6,304
- Endoscopic vein harvesting (EVH) for coronary artery bypass graft surgery (CABG) — ≈ $374
- Endovascular thrombectomy — ≈ $2,608
- Endovenous laser ablation (EVLA) for varicose vein (Bilateral) — ≈ $2,236
- Endovenous laser ablation (EVLA) for varicose vein (Unilateral) — ≈ $653
- Femoral-popliteal bypass graft surgery — ≈ $7,686
- Foam sclerotherapy (Bilateral) — ≈ $466
- Foam sclerotherapy (Unilateral) — ≈ $368
- Hybrid varicose veins treatment (open+endovascular) — $0
- Inferior vena cava (IVC) filter placement — ≈ $1,753
- Laser treatment for spider veins — ≈ $397
- Ligation of incompetent perforator veins — ≈ $388
- Mechanochemical Ablation (MOCA) — ≈ $1,310
- Pelvic vein embolization (PVE) — ≈ $1,807
- Peripheral artery angioplasty and stent placement — ≈ $2,608
- Peripheral artery bypass — ≈ $6,281
- Phlebectomy (including mini-phleboctomy) — ≈ $1,014
- Portocaval anastomosis — $0
- Prostatic artery embolization (PAE) — ≈ $2,806
- Radiofrequency ablation (RFA) for varicose veins (Bilateral) — ≈ $1,759
- Radiofrequency ablation (RFA) for varicose veins (Unilateral) — ≈ $1,175
- Reconstructive surgery for peripheral artery disease (PAD) — ≈ $5,628
- Renal arteries embolization (RAE) — ≈ $1,630
- Renal artery angioplasty and stenting — ≈ $2,608
- Renal artery bypass surgery — ≈ $4,727
- Ross operation — ≈ $13,176
- Secondary Cimino arteriovenous anastomosis surgery — ≈ $734
- Spider vein sclerotherapy — ≈ $257
- Surgical thrombectomy — ≈ $3,220
- Thoracic aortic aneurysm surgery — ≈ $8,697
- Thoracic endovascular aneurysm repair (TEVAR) — ≈ $10,064
- Unilateral varicose veins surgery — ≈ $1,177
- Uterine artery embolization (UAE) — ≈ $2,123
- Valve sparing root replacement (VSRR) — ≈ $6,797
- Varicose vein stripping (Unilateral) — ≈ $1,044
- Varicose veins treatment — ≈ $494
- Venaseal glue therapy of varicose vein (Bilateral) — ≈ $2,883
- Venaseal glue therapy of varicose vein (Unilateral) — ≈ $2,128
Neurosurgery
- Aqueductoplasty — $0
- Arteriovenous malformation (AVM) resection — ≈ $6,013
- Benign peripheral nerve tumor removal — ≈ $1,314
- Brachial plexus surgery — ≈ $4,305
- Brain aneurysm clipping — ≈ $7,294
- Brain aneurysm repair — ≈ $6,736
- Brain biopsy — ≈ $1,557
- Brain shunt surgery — ≈ $1,954
- Brain tumor embolization — ≈ $6,416
- Brain tumors surgery — ≈ $5,930
- Cavernous malformation treatment — ≈ $4,908
- Craniotomy — ≈ $589
- Embolization for cerebral arteriovenous malformation (AVM) — ≈ $8,371
- Endoscopic pituitary surgery — ≈ $5,212
- Endoscopic septostomy — ≈ $2,718
- Endoscopic third ventriculostomy (ETV) — ≈ $2,271
- Endovascular coiling for brain aneurysms — ≈ $8,426
- Endovascular stenting of cerebral vessels — ≈ $6,250
- Extra-intracranial arterial bypass (EIAB) — ≈ $10,311
- Extracranial CSF drainage — $0
- Facial nerve repair — ≈ $591
- Intracranial mechanical thrombectomy — ≈ $5,113
- Lumbar puncture — ≈ $337
- Microvascular decompression (MVD) — ≈ $4,995
- Nerve decompression surgery — ≈ $1,970
- Nerve graft repair — ≈ $2,135
- Peripheral nerve repair — ≈ $2,373
- Pipeline embolization procedure — $0
- Shunt revision — ≈ $2,565
- Surgery for an acoustic neuroma — ≈ $6,513
Oncology
- Abdominoperineal resection (APR) — ≈ $7,125
- Adrenalectomy — ≈ $4,082
- Axillary lymphadenectomy — ≈ $990
- Bilateral adnexectomy — ≈ $849
- Brachytherapy for endometrial cancer — $0
- Brachytherapy for vaginal cancer — $0
- Breast reconstruction after mastectomy — ≈ $4,528
- 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 — ≈ $886
- Colon polypectomy — ≈ $569
- Colorectal endoscopic mucosal resection (EMR) — ≈ $1,102
- Conization — ≈ $165
- Cord blood stem cell transplantation — $0
- Cryotherapy for skin lesions — ≈ $723
- Cystectomy + Bladder reconstruction — ≈ $3,890
- Cystoprostatectomy — ≈ $2,524
- Da Vinci XI robotic system for cancer treatment — $0
- Debulking cytoreductive surgery — ≈ $4,729
- Distal gastric resection — ≈ $2,636
- Distal pancreatectomy — ≈ $5,906
- Double preventive mastectomy — ≈ $2,663
- Duodenectomy — ≈ $1,682
- Endometriosis surgery — ≈ $1,719
- Esophagogastrectomy — ≈ $25,689
- Extended cholecystectomy — ≈ $5,226
- Gastric endoscopic submucosal dissection (ESD) — ≈ $922
- Hartmann's operation — ≈ $2,599
- Hematopoietic stem cell harvest — $0
- Hemicolectomy — ≈ $3,559
- Hormone therapy for breast cancer — $0
- Hormone therapy for ovarian cancer — $0
- Hysteroscopic polypectomy — ≈ $1,223
- Immune checkpoint inhibitors — $0
- Inguinofemoral lymphadenectomy — ≈ $1,517
- Intensity-modulated radiation therapy (IMRT) — $0
- Intersphincteric resection (ISR) — ≈ $1,860
- Interstitial chemotherapy for brain tumors — $0
- Jejunostomy — ≈ $1,954
- Laparascopic myomectomy — ≈ $2,556
- Laparoscopic adnexectomy — ≈ $1,689
- Laparoscopic cholecystectomy — ≈ $1,758
- Laparoscopic ovarian cystectomy — ≈ $1,832
- Laparoscopically assisted vaginal hysterectomy (LAVH) — ≈ $2,490
- Laparoscopy-assisted supracervical hysterectomy (LASH) — ≈ $1,937
- Laproscopic total gastrectomy — ≈ $1,682
- Laser therapy for skin lesions — ≈ $743
- Loop electrosurgical excision procedure (LEEP) — ≈ $557
- Low anterior resection (LAR) — ≈ $2,984
- Lumpectomy — ≈ $1,354
- Major liver resection — ≈ $13,554
- Mediastinal lymphadenectomy — ≈ $1,093
- Melanoma surgical removal — ≈ $2,783
- Minor liver resection — ≈ $3,443
- Mohs surgery — ≈ $1,187
- Monoclonal antibodies therapy (mAbs) — $0
- Myomectomy — ≈ $1,550
- Natural killer (NK) cell therapy — $0
- Needle biopsy — ≈ $269
- Nephroureterectomy — ≈ $4,502
- Nipple and areola reconstruction — ≈ $997
- Non-anatomic liver resection (NAR) — ≈ $7,872
- Omentectomy — ≈ $940
- Open hysterectomy — ≈ $977
- Orchiectomy — ≈ $345
- Ovarian transposition — ≈ $714
- Pancreaticoduodenectomy — ≈ $9,120
- Partial cystectomy — ≈ $2,238
- Partial mastectomy — ≈ $718
- Partial penectomy — ≈ $1,946
- Partial vulvectomy — ≈ $1,324
- Pelvic bone resection — ≈ $3,304
- Pelvic lymphadenectomy — ≈ $1,993
- Proctocolectomy — ≈ $4,306
- Proximal gastric resection — ≈ $3,309
- Radiation therapy — $0
- Radiation therapy for breast cancer — $0
- Radical cystectomy — ≈ $2,595
- Radical mastectomy — ≈ $4,118
- Radical nephrectomy — ≈ $5,211
- Radical nephrectomy + Inferior vena cava (IVC) thrombectomy — ≈ $4,129
- Radical prostatectomy — ≈ $2,391
- Radical trachelectomy — ≈ $2,394
- Radical vulvectomy — ≈ $2,309
- Radiotherapy for cervical cancer — ≈ $2,173
- Radiotherapy for ovarian cancer — $0
- Rectum anterior resection — ≈ $4,945
- Removal of benign skin lesions — ≈ $296
- Retroperitoneal lymphadenectomy — ≈ $2,732
- Retroperitoneal tumor resection — ≈ $6,200
- Robot-assisted oncosurgery — $0
- Salpingectomy — ≈ $1,456
- Sentinel node biopsy — ≈ $2,006
- Sigmoidectomy — ≈ $3,536
- Simple mastectomy — ≈ $687
- Skin cancer surgery — ≈ $678
- Small bowel resection — ≈ $3,496
- Soft tissue tumor removal — ≈ $2,417
- Splenectomy — ≈ $2,693
- Stem cell transplant (peripheral blood) — $0
- Subcutaneous mastectomy — ≈ $1,694
- Subtotal gastrectomy — ≈ $1,514
- Surgery for bone cancer — ≈ $1,371
- Surgical breast biopsy — ≈ $830
- TRAM flap breast reconstruction — ≈ $7,698
- Targeted therapy — $0
- Total colectomy — ≈ $1,514
- Total esophagectomy — ≈ $1,682
- Total gastrectomy — ≈ $4,234
- Total laparoscopic hysterectomy (TLH) — ≈ $525
- Total laparoscopic hysterectomy (TLH) + Bilateral adnexectomy — ≈ $3,000
- Total pancreatectomy — ≈ $3,543
- Total parietal peritonectomy — $0
- Total penectomy — ≈ $771
- Total skin electron therapy (TSET) — $0
- Transanal endoscopic microsurgery (TEM) — ≈ $1,094
- Transurethral incision of the prostate (TUIP) — ≈ $1,556
- Transurethral resection of bladder tumor (TURBT) — ≈ $640
- Transurethral resection of the prostate (TURP) — ≈ $653
- Tumor-infiltrating lymphocyte (TIL) therapy — $0
- Ureteral cancer surgery — $0
- Urethral cancer surgery — ≈ $653
- Vacuum-assisted breast biopsy — ≈ $937
- Vaginal hysterectomy — ≈ $2,758
- Vaginectomy — ≈ $1,575
Spine surgery
- Anterior cervical discectomy and fusion (ACDF) — ≈ $5,820
- Anterior lumbar interbody fusion (ALIF) — ≈ $4,431
- Atlantoaxial fixation — ≈ $6,803
- Cervical fusion — ≈ $3,777
- Cervical laminectomy — ≈ $2,995
- Corpectomy + Spinal stabilisation — ≈ $4,006
- Device for intervertebral assisted motion (DIAM) — $0
- Discectomy — ≈ $3,258
- Foraminotomy — ≈ $4,789
- Hemivertebra excision — $0
- Instrumented spine stabilization — ≈ $2,739
- Interspinous fixation with implant — ≈ $3,702
- Laminectomy — ≈ $785
- Laminoplasty — ≈ $4,639
- Lateral access lumbar fusion — $0
- Lumbar fixation — ≈ $8,855
- Lumbar laminectomy — ≈ $3,373
- Lumbosacral plexus surgery — ≈ $8,027
- Occipitocervical fusion surgery — ≈ $4,566
- Percutaneous pedicle screw fixation — ≈ $2,982
- Posterior lumbar interbody fusion (PLIF) — ≈ $4,213
- Spina bifida treatment — $0
- Spinal cord herniation surgery — $0
- Spinal synovial cyst removal — ≈ $278
- Spine dynamic stabilization — ≈ $3,347
- Surgical spine procedures — ≈ $9,572
- Tailbone removal — $0
- Thoracic discectomy — ≈ $2,103
- Thoracic laminectomy — ≈ $2,280
- Thoracic spine fixation — ≈ $3,407
- Transforaminal lumbar interbody fusion (TLIF) — ≈ $8,193
Orthopedic surgery
- Ankle replacement — ≈ $5,458
- Bone lengthening — ≈ $12,490
- Corticosteroid injections of joints and soft tissues — $0
- Hyaluronic acid injection into the joint — ≈ $199
- Muscle transfer — $0
- Orthokine therapy — ≈ $970
- Platelet-rich plasma (PRP) injection into the ligament/joint — ≈ $226
- Tendon repair — ≈ $327
- Tendon transfer — ≈ $1,516
- Tenotomy — ≈ $165
- Total hip replacement (Unilateral) — ≈ $4,054
- Total knee replacement (Unilateral) — ≈ $4,054
- Total shoulder replacement — ≈ $2,608
- Wrist replacement — ≈ $589