Clinic Aleksandrovska University Hospital in Sofia

Cardiac surgery

• Angioplasty of the pulmonary artery — ≈ $2,227

• Aortic valve replacement (AVR) — ≈ $12,700

• Balloon angioplasty and stenting of aorta coarctation — ≈ $5,689

• Bio-prosthetic valve replacement — ≈ $18,165

• Cardiac catheterization — $2,164

• Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $10,080

• Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $6,566

• Change of defibrillator — ≈ $3,423

• Coil embolization of intracardiac shunts and fistulas — ≈ $3,339

• Coronary catheterization — $2,164

• Double valve repair — ≈ $13,768

• Double valve replacement — ≈ $13,361

• Dual chamber pacemaker insertion — ≈ $5,347

• Fractional flow reserve (FFR) — ≈ $394

• Heart valve repair — ≈ $12,962

• Heart valve replacement — ≈ $14,037

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

• Insertion of Optimizer smart implantable pulse generator (IPD) system — ≈ $5,347

• Insertion of one electrode for implanted pacemaker or defibrillator — ≈ $4,566

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

• Intraaortic balloon pump (IABP) procedure — ≈ $1,304

• Leadless Pacemaker implantation Micra and Nanostim — ≈ $5,945

• Left atrial appendage occlusion — ≈ $5,583

• Loop recorder implantation (ILR) — ≈ $2,658

• Loop recorder removal — ≈ $1,107

• Management of ICD system — ≈ $707

• Management of pacemaker system — ≈ $359

• Mechanical valve replacement — ≈ $16,541

• Mitral valve replacement (MVR) — ≈ $12,700

• NobleStitch™ PFO closure procedure — $0

• Pacemaker replacement — ≈ $2,296

• Percutaneous ASD closure — ≈ $4,874

• Percutaneous closure of ventricular septal defect (VSD) — ≈ $4,874

• Percutaneous coronary intervention (PCI) with angioplasty — ≈ $3,844

• Percutaneous coronary intervention (PCI) with stent insertion — $2,236-2,959

• Permanent pacemaker implantation — ≈ $1,304

• Pulmonary artery thromboendarterectomy — ≈ $5,842

• Rashkind procedure — ≈ $4,416

• Removal of permanent pacemaker — ≈ $2,818

• Rotational atherectomy — ≈ $1,157

• Single chamber pacemaker insertion — ≈ $4,570

• Temporary pacemaker implantation — ≈ $486

• Transcatheter aortic valve replacement (TAVR) — ≈ $7,817

• Transcatheter closure of patent ductus arteriosus (PDA) in adults — ≈ $4,874

• Transcatheter pulmonary valve replacement (PVR) — ≈ $9,786

• Tricuspid valve replacement (TVR) — ≈ $8,679

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 — $134

• Arteriovenous (AV) graft surgery — $134

• Bentall surgery — ≈ $14,655

• Bilateral varicose veins surgery — ≈ $1,506

• Carotid and intracerebral thrombolysis — ≈ $7,991

• Carotid angioplasty and stenting — ≈ $3,258

• Carotid endarterectomy (CEA) — ≈ $3,582

• Catheter-directed sclerotherapy (CDS) (Bilateral) — ≈ $612

• Catheter-directed sclerotherapy (CDS) (Unilateral) — ≈ $165

• Central venous catheter (CVC/CVAD) placement — $53

• Chemodectoma surgery — ≈ $3,931

• 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

• 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

• Internal or external carotid artery embolization — $0

• Laser treatment for spider veins — ≈ $397

• Ligation of incompetent perforator veins — ≈ $388

• Mechanochemical Ablation (MOCA) — ≈ $1,310

• Peripheral artery angioplasty and stent placement — ≈ $2,608

• Peripheral artery bypass — ≈ $6,281

• Phlebectomy (including mini-phleboctomy) — ≈ $1,014

• Port-a-cath placement — ≈ $165

• Portocaval anastomosis — $0

• 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 artery angioplasty and stenting — ≈ $2,608

• Renal artery bypass surgery — ≈ $4,727

• Replacement of central venous catheter — ≈ $855

• 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

• 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

• Brain biopsy — ≈ $1,557

• Brain tumors surgery — ≈ $5,930

• Burr hole surgery — ≈ $2,006

• Craniofacial surgery — ≈ $3,691

• Cranioplasty — ≈ $2,859

• Craniotomy — ≈ $589

• Decompressive craniectomy — ≈ $5,576

• Elevation of depressed skull fracture — ≈ $3,909

• Endoscopic pituitary surgery — ≈ $5,212

• Epidural block — ≈ $304

• Epidural hematoma treatment — ≈ $1,859

• External ventricular drain (EVD) placement — ≈ $778

• Facet joint injection — ≈ $375

• Head injury surgery — $690

• Intracerebral hemorrhage (ICH) surgical treatment — $505

• Intracranial hemorrhage treatment — ≈ $4,194

• Intrathecal pain pump — ≈ $1,539

• Ommaya reservoir placement — ≈ $2,546

• Subarachnoid hemorrhage treatment — $653

• Subdural haematoma treatment — ≈ $4,052

• Surgery for an acoustic neuroma — ≈ $6,513

• Surgical neurolysis — ≈ $265

• Traumatic cerebrospinal fluid leaks surgical repair — ≈ $749

Oncology

• Abdominoperineal resection (APR) — ≈ $7,125

• Adrenalectomy — ≈ $4,082

• Breast reconstruction after mastectomy — ≈ $4,528

• Cervical lymphadenectomy — ≈ $3,491

• Chemotherapy for leukemia — $0

• Chemotherapy for lymphoma — $0

• Chemotherapy for myeloma — $0

• Cholecystectomy — ≈ $886

• Colon polypectomy — ≈ $569

• Colorectal endoscopic mucosal resection (EMR) — ≈ $1,102

• Cord blood stem cell transplantation — $0

• Cordectomy — ≈ $698

• Cryotherapy for skin lesions — ≈ $723

• Cystectomy + Bladder reconstruction — ≈ $3,890

• Cystoprostatectomy — ≈ $2,524

• Distal gastric resection — ≈ $2,636

• Distal pancreatectomy — ≈ $5,906

• Double preventive mastectomy — ≈ $2,663

• Duodenectomy — $1,544-1,630

• Endolaryngeal surgery — ≈ $1,467

• Esophagogastrectomy — ≈ $25,689

• Extended cholecystectomy — ≈ $5,226

• Floor of mouth cancer resection — ≈ $918

• Gastric endoscopic submucosal dissection (ESD) — ≈ $922

• Hartmann's operation — ≈ $2,599

• Hematopoietic stem cell harvest — $0

• Hemicolectomy — ≈ $3,559

• Hemiglossectomy — ≈ $1,458

• Hemilaryngectomy — ≈ $1,501

• Hemithyroidectomy — ≈ $2,493

• Intersphincteric resection (ISR) — ≈ $1,860

• Intraoperative radiotherapy — $0

• Jejunostomy — ≈ $1,954

• Laparoscopic cholecystectomy — $491

• Laproscopic total gastrectomy — $1,544-1,630

• Laser therapy for skin lesions — ≈ $743

• Lip resection — ≈ $2,958

• Low anterior resection (LAR) — ≈ $2,984

• Lumpectomy — ≈ $1,354

• Major liver resection — ≈ $13,554

• Mandibular resection — ≈ $5,167

• Mandibular resection + Reconstruction — ≈ $4,271

• Melanoma surgical removal — ≈ $2,783

• Minor liver resection — ≈ $3,443

• Mohs surgery — ≈ $1,187

• Nasal cavity cancer surgery — $1,630

• Needle biopsy — ≈ $269

• Nephroureterectomy — ≈ $4,502

• Nipple and areola reconstruction — ≈ $997

• Non-anatomic liver resection (NAR) — ≈ $7,872

• Omentectomy — ≈ $940

• Oral cancer surgery — ≈ $7,631

• Orchiectomy — ≈ $345

• Pancreaticoduodenectomy — from $2,608

• Paranasal sinus cancer surgery — $1,630

• Parathyroidectomy — ≈ $2,128

• Parotidectomy — ≈ $1,540

• Partial cystectomy — ≈ $2,238

• Partial mastectomy — $718

• Partial penectomy — ≈ $1,946

• Pharyngeal cancer surgery — ≈ $4,537

• Proctocolectomy — ≈ $4,306

• Proximal gastric resection — ≈ $3,309

• Radiation therapy — $0

• Radical cystectomy — $2,086

• Radical mastectomy — ≈ $4,118

• Radical nephrectomy — ≈ $5,211

• Radical nephrectomy + Inferior vena cava (IVC) thrombectomy — ≈ $4,129

• Radical prostatectomy — $1,630

• Rectum anterior resection — ≈ $4,945

• Removal of benign skin lesions — from $296

• Retroperitoneal tumor resection — ≈ $6,200

• Sigmoidectomy — ≈ $3,536

• Simple mastectomy — ≈ $687

• Skin cancer surgery — from $296

• Small bowel resection — ≈ $3,496

• Splenectomy — ≈ $2,693

• Stem cell transplant (peripheral blood) — $0

• Subcutaneous mastectomy — ≈ $1,694

• Submandibular gland resection — ≈ $1,246

• Subtotal gastrectomy — ≈ $1,514

• Subtotal thyroidectomy — ≈ $1,840

• Surgical breast biopsy — ≈ $830

• TRAM flap breast reconstruction — ≈ $7,698

• Total colectomy — ≈ $1,514

• Total esophagectomy — $1,544-1,630

• Total gastrectomy — ≈ $4,234

• Total glossectomy — ≈ $1,991

• Total glossectomy + Reconstruction — $0

• Total laryngectomy — $1,463

• Total pancreatectomy — ≈ $3,543

• Total parietal peritonectomy — $0

• Total penectomy — ≈ $771

• Total skin electron therapy (TSET) — $0

• Total thyroidectomy — ≈ $1,264

• Transanal endoscopic microsurgery (TEM) — ≈ $1,094

• Transurethral incision of the prostate (TUIP) — ≈ $1,556

• Transurethral resection of bladder tumor (TURBT) — $525

• Transurethral resection of the prostate (TURP) — $653

• Ureteral cancer surgery — $0

• Urethral cancer surgery — ≈ $653

• Vacuum-assisted breast biopsy — ≈ $937

Spine surgery

• Spine biopsy — ≈ $1,490

• Spine fractures surgical treatment — ≈ $9,843

• Spine tumor surgery — ≈ $6,581

• Total en bloc spondylectomy (TES) — ≈ $5,681