Clinic Aleksandrovska University Hospital in Sofia

Cardiac surgery

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

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

• Balloon angioplasty and stenting of aorta coarctation — ≈ $4,806

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

• Cardiac catheterization — $1,972

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

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

• Change of defibrillator — ≈ $3,118

• Coil embolization of intracardiac shunts and fistulas — ≈ $3,041

• Coronary catheterization — $1,972

• Double valve repair — ≈ $12,625

• Double valve replacement — ≈ $12,638

• Dual chamber pacemaker insertion — ≈ $4,906

• Fractional flow reserve (FFR) — ≈ $357

• Heart valve repair — ≈ $11,988

• Heart valve replacement — ≈ $12,952

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

• Insertion of Optimizer smart implantable pulse generator (IPD) system — ≈ $4,907

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

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

• Intraaortic balloon pump (IABP) procedure — ≈ $1,187

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

• Left atrial appendage occlusion — ≈ $5,106

• Loop recorder implantation (ILR) — ≈ $2,421

• Loop recorder removal — ≈ $1,007

• Management of ICD system — ≈ $648

• Management of pacemaker system — ≈ $329

• Mechanical valve replacement — ≈ $15,432

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

• NobleStitch™ PFO closure procedure — $0

• Pacemaker replacement — ≈ $2,091

• Percutaneous ASD closure — ≈ $4,441

• Percutaneous closure of ventricular septal defect (VSD) — ≈ $4,441

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

• Percutaneous coronary intervention (PCI) with stent insertion — $2,037-2,696

• Permanent pacemaker implantation — ≈ $1,187

• Pulmonary artery thromboendarterectomy — ≈ $5,315

• Rashkind procedure — ≈ $4,122

• Removal of permanent pacemaker — ≈ $2,575

• Rotational atherectomy — ≈ $1,062

• Single chamber pacemaker insertion — ≈ $4,233

• Temporary pacemaker implantation — ≈ $442

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

• Transcatheter closure of patent ductus arteriosus (PDA) in adults — ≈ $4,441

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

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

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 — $120

• Arteriovenous (AV) graft surgery — $120

• Bentall surgery — ≈ $13,358

• Bilateral varicose veins surgery — ≈ $1,425

• Carotid and intracerebral thrombolysis — ≈ $7,271

• Carotid angioplasty and stenting — ≈ $2,968

• Carotid endarterectomy (CEA) — ≈ $3,265

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

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

• Central venous catheter (CVC/CVAD) placement — $48

• Chemodectoma surgery — ≈ $3,570

• 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

• 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

• Internal or external carotid artery embolization — $0

• Laser treatment for spider veins — ≈ $360

• Ligation of incompetent perforator veins — ≈ $354

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

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

• Peripheral artery bypass — ≈ $5,759

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

• Port-a-cath placement — ≈ $150

• Portocaval anastomosis — $0

• 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 artery angioplasty and stenting — ≈ $2,375

• Renal artery bypass surgery — ≈ $4,305

• Replacement of central venous catheter — ≈ $778

• 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

• 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

• Esophageal dilation — ≈ $447

• Esophageal stenting — ≈ $1,248

• Esophagocoloplasty — ≈ $1,658

• Windpipe cancer surgery — ≈ $14,276

Neurosurgery

• Brain biopsy — ≈ $1,421

• Brain tumors surgery — ≈ $4,999

• Burr hole surgery — ≈ $1,829

• Craniofacial surgery — ≈ $3,389

• Cranioplasty — ≈ $2,602

• Craniotomy — ≈ $537

• Decompressive craniectomy — ≈ $5,103

• Elevation of depressed skull fracture — ≈ $3,562

• Endoscopic pituitary surgery — ≈ $4,750

• Epidural block — ≈ $279

• Epidural hematoma treatment — ≈ $1,691

• External ventricular drain (EVD) placement — ≈ $708

• Facet joint injection — ≈ $348

• Head injury surgery — $626

• Intracerebral hemorrhage (ICH) surgical treatment — $460

• Intracranial hemorrhage treatment — ≈ $3,832

• Intrathecal pain pump — ≈ $1,402

• Ommaya reservoir placement — ≈ $2,317

• Subarachnoid hemorrhage treatment — $594

• Subdural haematoma treatment — ≈ $3,687

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

• Surgical neurolysis — ≈ $240

• Traumatic cerebrospinal fluid leaks surgical repair — ≈ $679

Spine surgery

• Spine biopsy — ≈ $1,359

• Spine fractures surgical treatment — ≈ $8,989

• Spine tumor surgery — ≈ $5,992

• Total en bloc spondylectomy (TES) — ≈ $5,165

Oncology

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

• Adrenalectomy — ≈ $3,727

• Breast reconstruction after mastectomy — ≈ $4,099

• Cervical lymphadenectomy — ≈ $3,199

• Chemotherapy for leukemia — $0

• Chemotherapy for lymphoma — $0

• Chemotherapy for myeloma — $0

• Cholecystectomy — ≈ $807

• Colon polypectomy — ≈ $542

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

• Cord blood stem cell transplantation — $0

• Cordectomy — ≈ $647

• Cryotherapy for skin lesions — ≈ $688

• Cystectomy + Bladder reconstruction — ≈ $3,544

• Cystoprostatectomy — ≈ $2,299

• Distal gastric resection — ≈ $2,438

• Distal pancreatectomy — ≈ $5,508

• Double preventive mastectomy — ≈ $2,658

• Duodenectomy — $1,405-1,484

• Endolaryngeal surgery — ≈ $1,333

• Esophagogastrectomy — ≈ $23,446

• Extended cholecystectomy — ≈ $4,752

• Floor of mouth cancer resection — ≈ $833

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

• Hartmann's operation — ≈ $2,367

• Hematopoietic stem cell harvest — $0

• Hemicolectomy — ≈ $3,242

• Hemiglossectomy — ≈ $1,348

• Hemilaryngectomy — ≈ $1,363

• Hemithyroidectomy — ≈ $2,250

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

• Intraoperative radiotherapy — $0

• Jejunostomy — ≈ $1,781

• Laparoscopic cholecystectomy — $447

• Laproscopic total gastrectomy — $1,405-1,484

• Laser therapy for skin lesions — ≈ $692

• Lip resection — ≈ $2,958

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

• Lumpectomy — ≈ $1,255

• Major liver resection — ≈ $4,598

• Mandibular resection — ≈ $4,692

• Mandibular resection + Reconstruction — ≈ $3,946

• Melanoma surgical removal — ≈ $2,670

• Minor liver resection — ≈ $3,146

• Mohs surgery — ≈ $1,087

• Nasal cavity cancer surgery — $1,484

• Needle biopsy — ≈ $246

• Nephroureterectomy — ≈ $4,114

• Nipple and areola reconstruction — ≈ $916

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

• Omentectomy — ≈ $857

• Oral cancer surgery — ≈ $7,319

• Orchiectomy — ≈ $313

• Pancreaticoduodenectomy — from $2,375

• Paranasal sinus cancer surgery — $1,484

• Parathyroidectomy — ≈ $1,953

• Parotidectomy — ≈ $1,471

• Partial cystectomy — ≈ $2,045

• Partial mastectomy — $654

• Partial penectomy — ≈ $1,673

• Pharyngeal cancer surgery — ≈ $4,154

• Proctocolectomy — ≈ $3,921

• Proximal gastric resection — ≈ $3,027

• Radiation therapy — $0

• Radical cystectomy — $1,901

• Radical mastectomy — ≈ $3,747

• Radical nephrectomy — ≈ $4,760

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

• Radical prostatectomy — $1,484

• Rectum anterior resection — ≈ $4,629

• Removal of benign skin lesions — from $270

• Retroperitoneal tumor resection — ≈ $5,648

• Sigmoidectomy — ≈ $3,238

• Simple mastectomy — ≈ $625

• Skin cancer surgery — from $270

• Small bowel resection — ≈ $3,201

• Splenectomy — ≈ $2,522

• Stem cell transplant (peripheral blood) — $0

• Subcutaneous mastectomy — ≈ $1,558

• Submandibular gland resection — ≈ $1,139

• Subtotal gastrectomy — ≈ $1,379

• Subtotal thyroidectomy — ≈ $1,658

• Surgical breast biopsy — ≈ $775

• TRAM flap breast reconstruction — ≈ $7,020

• Total colectomy — ≈ $1,379

• Total esophagectomy — $1,405-1,484

• Total gastrectomy — ≈ $3,859

• Total glossectomy — ≈ $1,839

• Total glossectomy + Reconstruction — $0

• Total laryngectomy — $1,332

• Total pancreatectomy — ≈ $3,254

• Total parietal peritonectomy — $0

• Total penectomy — ≈ $700

• Total skin electron therapy (TSET) — $0

• Total thyroidectomy — ≈ $1,153

• Transanal endoscopic microsurgery (TEM) — ≈ $730

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

• Transurethral resection of bladder tumor (TURBT) — $477

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

• Ureteral cancer surgery — $0

• Urethral cancer surgery — ≈ $594

• Vacuum-assisted breast biopsy — ≈ $865