Alexandrovska University Multidisciplinary Hospital for Active Treatment, known as Alexandrovska Hospital , is the oldest hospital and one of the largest in the country. Since its inception in 1879. under the name Sofia First Class Hospital , it received the status and functions of a national medical institution. Alexandrovska Hospital is a leading national university and medical center, providing 24-hour medical care for diagnosis, treatment and rehabilitation of persons with acute and chronic diseases, injuries, conditions requiring surgical treatment in hospital, including medical and cosmetic procedures. The medical-diagnostic, transplantation, dispensary, educational and research activity is carried out in 26 independent clinics, 3 reference laboratories, wards, centers and consulting rooms, some with unique functions and significance for the country.
Cardiac surgery
- Angioplasty of the pulmonary artery — ≈ $2,264
- Aortic valve replacement (AVR) — ≈ $12,945
- Balloon angioplasty and stenting of aorta coarctation — ≈ $5,798
- Bio-prosthetic valve replacement — ≈ $18,987
- Cardiac catheterization — $2,205
- Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $10,267
- Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $6,692
- Change of defibrillator — ≈ $3,489
- Coil embolization of intracardiac shunts and fistulas — ≈ $3,406
- Coronary catheterization — $2,205
- Double valve repair — ≈ $14,357
- Double valve replacement — ≈ $13,663
- Dual chamber pacemaker insertion — ≈ $5,443
- Fractional flow reserve (FFR) — ≈ $401
- Heart valve repair — ≈ $13,284
- Heart valve replacement — ≈ $14,275
- Implantable cardioverter-defibrillator implantation (ICD) — $0
- Insertion of Optimizer smart implantable pulse generator (IPD) system — ≈ $5,450
- Insertion of one electrode for implanted pacemaker or defibrillator — ≈ $4,654
- Insertion of two electrodes for implanted pacemaker or defibrillator — $0
- Intraaortic balloon pump (IABP) procedure — ≈ $1,329
- Leadless Pacemaker implantation Micra and Nanostim — ≈ $6,059
- Left atrial appendage occlusion — ≈ $5,687
- Loop recorder implantation (ILR) — ≈ $2,711
- Loop recorder removal — ≈ $1,129
- Management of ICD system — ≈ $725
- Management of pacemaker system — ≈ $368
- Mechanical valve replacement — ≈ $17,211
- Mitral valve replacement (MVR) — ≈ $12,945
- NobleStitch™ PFO closure procedure — $0
- Pacemaker replacement — ≈ $2,341
- Percutaneous ASD closure — ≈ $4,968
- Percutaneous closure of ventricular septal defect (VSD) — ≈ $4,968
- Percutaneous coronary intervention (PCI) with angioplasty — ≈ $3,919
- Percutaneous coronary intervention (PCI) with stent insertion — $2,279-3,016
- Permanent pacemaker implantation — ≈ $1,329
- Pulmonary artery thromboendarterectomy — ≈ $5,958
- Rashkind procedure — ≈ $4,425
- Removal of permanent pacemaker — ≈ $2,872
- Rotational atherectomy — ≈ $1,180
- Single chamber pacemaker insertion — ≈ $4,691
- Temporary pacemaker implantation — ≈ $495
- Transcatheter aortic valve replacement (TAVR) — ≈ $7,968
- Transcatheter closure of patent ductus arteriosus (PDA) in adults — ≈ $4,968
- Transcatheter pulmonary valve replacement (PVR) — ≈ $9,977
- Tricuspid valve replacement (TVR) — ≈ $8,800
Vascular surgery
- Abdominal aortic aneurysm repair — ≈ $3,514
- Abdominal endovascular aneurysm repair (EVAR) — ≈ $10,390
- Angioplasty and stenting of visceral arteries (celiac trunk, superior mesenteric artery) — ≈ $3,045
- Angioplasty of the arteries of the lower or upper limbs — ≈ $2,607
- Angioplasty of the brachiocephalic vessels — ≈ $1,954
- Aortic arch replacement — ≈ $7,011
- Aortic reconstruction — ≈ $4,518
- Aortobifemoral stent grafting — ≈ $4,579
- Aortography — ≈ $666
- Aortoiliac allografting — ≈ $8,765
- Arteriovenous (AV) fistula surgery — $137
- Arteriovenous (AV) graft surgery — $137
- Bentall surgery — ≈ $14,937
- Bilateral varicose veins surgery — ≈ $1,537
- Carotid and intracerebral thrombolysis — ≈ $8,150
- Carotid angioplasty and stenting — ≈ $3,321
- Carotid endarterectomy (CEA) — ≈ $3,651
- Catheter-directed sclerotherapy (CDS) (Bilateral) — ≈ $624
- Catheter-directed sclerotherapy (CDS) (Unilateral) — ≈ $168
- Central venous catheter (CVC/CVAD) placement — $54
- Chemodectoma surgery — ≈ $4,007
- Complex aortic surgery — ≈ $20,325
- Crossectomy — ≈ $666
- Crossectomy + Saphenous vein ligation and stripping + Side vein surgery — ≈ $1,374
- Crossectomy and side vein surgery — ≈ $1,976
- Cryosurgery of varicose veins — ≈ $1,741
- Endoscopic vein harvesting (EVH) for coronary artery bypass graft surgery (CABG) — ≈ $381
- Endovascular thrombectomy — ≈ $2,658
- Endovenous laser ablation (EVLA) for varicose vein (Bilateral) — ≈ $2,279
- Endovenous laser ablation (EVLA) for varicose vein (Unilateral) — ≈ $666
- Femoral-popliteal bypass graft surgery — ≈ $7,834
- Foam sclerotherapy (Bilateral) — ≈ $475
- Foam sclerotherapy (Unilateral) — ≈ $375
- Hybrid varicose veins treatment (open+endovascular) — $0
- Internal or external carotid artery embolization — $0
- Laser treatment for spider veins — ≈ $404
- Ligation of incompetent perforator veins — ≈ $396
- Mechanochemical Ablation (MOCA) — ≈ $1,336
- Peripheral artery angioplasty and stent placement — ≈ $2,658
- Peripheral artery bypass — ≈ $6,459
- Phlebectomy (including mini-phleboctomy) — ≈ $1,032
- Port-a-cath placement — ≈ $168
- Portocaval anastomosis — $0
- Radiofrequency ablation (RFA) for varicose veins (Bilateral) — ≈ $1,795
- Radiofrequency ablation (RFA) for varicose veins (Unilateral) — ≈ $1,198
- Reconstructive surgery for peripheral artery disease (PAD) — ≈ $5,737
- Renal artery angioplasty and stenting — ≈ $2,658
- Renal artery bypass surgery — ≈ $4,818
- Replacement of central venous catheter — ≈ $872
- Ross operation — ≈ $13,432
- Secondary Cimino arteriovenous anastomosis surgery — ≈ $745
- Spider vein sclerotherapy — ≈ $261
- Surgical thrombectomy — ≈ $3,300
- Thoracic aortic aneurysm surgery — ≈ $8,852
- Thoracic endovascular aneurysm repair (TEVAR) — ≈ $10,254
- Unilateral varicose veins surgery — ≈ $1,201
- Valve sparing root replacement (VSRR) — ≈ $6,933
- Varicose vein stripping (Unilateral) — ≈ $1,064
- Varicose veins treatment — ≈ $504
- Venaseal glue therapy of varicose vein (Bilateral) — ≈ $2,940
- Venaseal glue therapy of varicose vein (Unilateral) — ≈ $2,170
Neurosurgery
- Brain biopsy — ≈ $1,587
- Brain tumors surgery — ≈ $6,061
- Burr hole surgery — ≈ $2,045
- Craniofacial surgery — ≈ $3,776
- Cranioplasty — ≈ $2,915
- Craniotomy — ≈ $600
- Decompressive craniectomy — ≈ $5,684
- Elevation of depressed skull fracture — ≈ $3,984
- Endoscopic pituitary surgery — ≈ $5,313
- Epidural block — ≈ $309
- Epidural hematoma treatment — ≈ $1,895
- External ventricular drain (EVD) placement — ≈ $793
- Facet joint injection — ≈ $385
- Head injury surgery — $703
- Intracerebral hemorrhage (ICH) surgical treatment — $515
- Intracranial hemorrhage treatment — ≈ $4,277
- Intrathecal pain pump — ≈ $1,570
- Ommaya reservoir placement — ≈ $2,597
- Subarachnoid hemorrhage treatment — $666
- Subdural haematoma treatment — ≈ $4,131
- Surgery for an acoustic neuroma — ≈ $6,639
- Surgical neurolysis — ≈ $270
- Traumatic cerebrospinal fluid leaks surgical repair — ≈ $764
Oncology
- Abdominoperineal resection (APR) — ≈ $7,238
- Adrenalectomy — ≈ $4,160
- Breast reconstruction after mastectomy — ≈ $4,611
- Cervical lymphadenectomy — ≈ $3,555
- Chemotherapy for leukemia — $0
- Chemotherapy for lymphoma — $0
- Chemotherapy for myeloma — $0
- Cholecystectomy — ≈ $903
- Colon polypectomy — ≈ $584
- Colorectal endoscopic mucosal resection (EMR) — ≈ $1,094
- Cord blood stem cell transplantation — $0
- Cordectomy — ≈ $711
- Cryotherapy for skin lesions — ≈ $739
- Cystectomy + Bladder reconstruction — ≈ $3,965
- Cystoprostatectomy — ≈ $2,573
- Distal gastric resection — ≈ $2,684
- Distal pancreatectomy — ≈ $6,001
- Double preventive mastectomy — ≈ $2,714
- Duodenectomy — $1,574-1,662
- Endolaryngeal surgery — ≈ $1,496
- Esophagogastrectomy — ≈ $26,180
- Extended cholecystectomy — ≈ $5,167
- Floor of mouth cancer resection — ≈ $936
- Gastric endoscopic submucosal dissection (ESD) — ≈ $921
- Hartmann's operation — ≈ $2,649
- Hematopoietic stem cell harvest — $0
- Hemicolectomy — ≈ $3,628
- Hemiglossectomy — ≈ $1,485
- Hemilaryngectomy — ≈ $1,530
- Hemithyroidectomy — ≈ $2,546
- Intersphincteric resection (ISR) — ≈ $1,897
- Intraoperative radiotherapy — $0
- Jejunostomy — ≈ $1,992
- Laparoscopic cholecystectomy — $501
- Laproscopic total gastrectomy — $1,574-1,662
- Laser therapy for skin lesions — ≈ $745
- Lip resection — ≈ $3,017
- Low anterior resection (LAR) — ≈ $3,053
- Lumpectomy — ≈ $1,383
- Major liver resection — ≈ $14,817
- Mandibular resection — ≈ $5,292
- Mandibular resection + Reconstruction — ≈ $4,337
- Melanoma surgical removal — ≈ $2,853
- Minor liver resection — ≈ $3,507
- Mohs surgery — ≈ $1,210
- Nasal cavity cancer surgery — $1,662
- Needle biopsy — ≈ $274
- Nephroureterectomy — ≈ $4,587
- Nipple and areola reconstruction — ≈ $1,015
- Non-anatomic liver resection (NAR) — ≈ $8,015
- Omentectomy — ≈ $959
- Oral cancer surgery — ≈ $7,771
- Orchiectomy — ≈ $352
- Pancreaticoduodenectomy — from $2,658
- Paranasal sinus cancer surgery — $1,662
- Parathyroidectomy — ≈ $2,170
- Parotidectomy — ≈ $1,573
- Partial cystectomy — ≈ $2,280
- Partial mastectomy — $731
- Partial penectomy — ≈ $1,980
- Pharyngeal cancer surgery — ≈ $4,618
- Proctocolectomy — ≈ $4,390
- Proximal gastric resection — ≈ $3,368
- Radiation therapy — $0
- Radical cystectomy — $2,126
- Radical mastectomy — ≈ $4,200
- Radical nephrectomy — ≈ $5,305
- Radical nephrectomy + Inferior vena cava (IVC) thrombectomy — ≈ $4,209
- Radical prostatectomy — $1,662
- Rectum anterior resection — ≈ $5,034
- Removal of benign skin lesions — from $302
- Retroperitoneal tumor resection — ≈ $6,322
- Sigmoidectomy — ≈ $3,610
- Simple mastectomy — ≈ $700
- Skin cancer surgery — from $302
- Small bowel resection — ≈ $3,565
- Splenectomy — ≈ $2,743
- Stem cell transplant (peripheral blood) — $0
- Subcutaneous mastectomy — ≈ $1,725
- Submandibular gland resection — ≈ $1,263
- Subtotal gastrectomy — ≈ $1,543
- Subtotal thyroidectomy — ≈ $1,882
- Surgical breast biopsy — ≈ $850
- TRAM flap breast reconstruction — ≈ $7,857
- Total colectomy — ≈ $1,543
- Total esophagectomy — $1,574-1,662
- Total gastrectomy — ≈ $4,316
- Total glossectomy — ≈ $2,028
- Total glossectomy + Reconstruction — $0
- Total laryngectomy — $1,491
- Total pancreatectomy — ≈ $3,602
- Total parietal peritonectomy — $0
- Total penectomy — ≈ $785
- Total skin electron therapy (TSET) — $0
- Total thyroidectomy — ≈ $1,289
- Transanal endoscopic microsurgery (TEM) — ≈ $1,116
- Transurethral incision of the prostate (TUIP) — ≈ $1,592
- Transurethral resection of bladder tumor (TURBT) — $535
- Transurethral resection of the prostate (TURP) — $666
- Ureteral cancer surgery — $0
- Urethral cancer surgery — ≈ $666
- Vacuum-assisted breast biopsy — ≈ $956
Spine surgery
- Spine biopsy — ≈ $1,518
- Spine fractures surgical treatment — ≈ $10,028
- Spine tumor surgery — ≈ $6,709
- Total en bloc spondylectomy (TES) — ≈ $5,792