Niguarda is a large metropolitan hospital with social and health skills for territorial care . Home to all clinical and surgical specialties for adults and children , it is a reference center for Milan, where it is based, for the Lombardy Region and for Italy. The combination of these two realities defines its orientation: integrating specialist care with territorial social and health care , in synergy with all the actors involved in protecting the health of the citizen. In 2020 it is the only Italian center to enter the "top 50" of the best hospitals in the world according to the American magazine Newsweek.Opened on 10 October 1939, it has evolved over time and especially in the last decade it has undergone a complex structural and organizational transformation in which multidisciplinarity, technology and integration have been the key elements of its change.
Cardiac surgery
- Alcohol septal ablation in hypertrophic obstructive cardiomyopathy — ≈ $11,539
- Arterial switch operation (ASO) — ≈ $37,318
- Atrial septal defect (ASD) repair — ≈ $25,867
- Atrial septal defect (ASD) repair in children — ≈ $35,852
- Atrioventricular canal defect surgery — ≈ $38,436
- Balloon angioplasty and stenting of aorta coarctation — ≈ $25,382
- Blalock-Taussig shunt — ≈ $23,245
- Cardiac catheterization — ≈ $6,695
- Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $45,147
- Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $28,512
- Catheter cardiac ablation — ≈ $30,523
- Catheter cryoablation — ≈ $13,030
- Change of defibrillator — ≈ $18,526
- Coarctectomy in children — ≈ $25,351
- Coil embolization of intracardiac shunts and fistulas — ≈ $16,538
- Coronary artery bypass graft (CABG) — ≈ $44,932
- Coronary catheterization — ≈ $3,659
- Dual chamber pacemaker insertion — ≈ $17,090
- Ebstein anomaly correction — ≈ $36,186
- Electrophysiology study (EPS) — ≈ $7,873
- Extracorporeal membrane oxygenation (ECMO) — $0
- Fetal cardiac interventions — $0
- Fontan procedure — ≈ $32,709
- Glenn procedure — ≈ $33,791
- Heart transplantation — ≈ $85,423
- Heart tumor surgery — ≈ $55,603
- Implantable cardioverter-defibrillator implantation (ICD) — $0
- Insertion of one electrode for implanted pacemaker or defibrillator — ≈ $26,577
- Insertion of two electrodes for implanted pacemaker or defibrillator — $0
- Intraaortic balloon pump (IABP) procedure — ≈ $7,128
- Leadless Pacemaker implantation Micra and Nanostim — ≈ $13,768
- Left atrial appendage occlusion — ≈ $19,723
- MAZE procedure — ≈ $49,139
- Management of ICD system — ≈ $2,726
- Management of pacemaker system — ≈ $1,379
- Minimally invasive direct coronary artery bypass grafting (MIDCAB) — ≈ $29,354
- Minimally invasive valvular heart surgery with valve repair or replacement — $0
- Nikaidoh procedure — ≈ $31,714
- NobleStitch™ PFO closure procedure — $0
- Norwood procedure — ≈ $36,914
- Off-pump coronary artery bypass surgery — ≈ $49,475
- Open-heart intracardiac foreign body removal — ≈ $75,827
- Pacemaker replacement — ≈ $11,925
- Partial anomalous pulmonary return (PAPVR) correction — $0
- Patent ductus arteriosus (PDA) ligation in children — ≈ $33,890
- Patent ductus arteriosus (PDA) open heart surgery in adults — ≈ $13,523
- Percutaneous ASD closure — ≈ $20,798
- Percutaneous closure of ventricular septal defect (VSD) — ≈ $20,970
- Permanent pacemaker implantation — ≈ $14,335
- Pulmonary artery banding (PAB) — ≈ $17,676
- Radical correction of tetralogy of Fallot (TOF) — ≈ $29,704
- Radiofrequency ablation (RFA) — ≈ $13,030
- Rashkind procedure — ≈ $18,189
- Rastelli procedure — ≈ $29,204
- Redo heart surgery — ≈ $34,362
- Removal of permanent pacemaker — ≈ $11,185
- Repair of the ruptured sinuses of Valsalva — ≈ $27,668
- Septal myectomy — ≈ $29,102
- Single chamber pacemaker insertion — ≈ $14,457
- Surgery for tetralogy of Fallot (TOF) in adults — ≈ $23,658
- Surgical ventricular restoration (SVR) — ≈ $27,988
- Temporary pacemaker implantation — ≈ $1,839
- Total anomalous pulmonary return (TAPVR) correction — ≈ $34,979
- Totally endoscopic coronary artery bypass (TECAB) — ≈ $19,156
- Transcatheter closure of patent ductus arteriosus (PDA) in adults — ≈ $23,634
- Truncus arteriosus repair — ≈ $42,191
- Ventricular assist device (LVAD, RVAD, BVAD) implantation — $0
- Ventricular septal defect (VSD) repair — ≈ $30,958
- Ventricular septal defect (VSD) repair in children — ≈ $25,930
Thoracic surgery
- Chest wall deformities correction in children — ≈ $17,365
- Combined heart-lung transplantation — $0
- Esophageal dilation — ≈ $2,371
- Esophageal stenting — ≈ $5,729
- Esophagocoloplasty — ≈ $9,895
- Lung transplantation — $0
- Removal of a malignant tumor of the chest wall — ≈ $8,103
- Rib cancer surgical treatment — ≈ $8,357
- Windpipe cancer surgery — ≈ $68,709
Vascular surgery
- Abdominal aortic aneurysm repair — ≈ $31,707
- Abdominal endovascular aneurysm repair (EVAR) — ≈ $45,276
- Aortic arch replacement — ≈ $31,834
- Aortic reconstruction — ≈ $15,576
- Aortography — ≈ $4,010
- Arteriovenous malformations (AVM) embolization — ≈ $19,314
- Bentall surgery — ≈ $50,391
- Carotid angiography — ≈ $2,444
- Catheter embolization — ≈ $8,136
- Cerebral angiography — ≈ $2,142
- Complex aortic surgery — ≈ $89,813
- Embolization of peripheral arteries aneurysm — ≈ $34,560
- Endovascular repair of peripheral artery aneurysm with a stent-graft — ≈ $21,012
- Femoral artery angiography — ≈ $2,008
- Iliac artery aneurysms stent grafting — $0
- Pelvic vein embolization (PVE) — ≈ $5,902
- Peripheral angiography — ≈ $2,901
- Peripheral artery aneurysm surgery — ≈ $37,055
- Phlebography — ≈ $2,222
- Prostatic artery embolization (PAE) — ≈ $12,479
- Pulmonary angiography — ≈ $3,962
- Renal arteries embolization (RAE) — ≈ $8,388
- Ross operation — ≈ $45,172
- Thoracic aortic aneurysm surgery — ≈ $39,119
- Thoracic endovascular aneurysm repair (TEVAR) — ≈ $43,404
- Uterine artery embolization (UAE) — ≈ $7,397
- Valve sparing root replacement (VSRR) — ≈ $25,806
- Visceral organs angiography — ≈ $3,174
Neurosurgery
- Aqueductoplasty — $0
- Arteriovenous malformation (AVM) resection — ≈ $21,698
- Brachial plexus surgery — ≈ $14,974
- Brain aneurysm clipping — ≈ $28,915
- Brain aneurysm repair — ≈ $25,642
- Brain biopsy — ≈ $6,873
- Brain shunt surgery — ≈ $16,183
- Brain tumor embolization — ≈ $24,199
- Brain tumors surgery — ≈ $25,701
- Cavernous malformation treatment — ≈ $25,540
- Chiari decompression surgery — ≈ $12,676
- Corpus callosotomy — ≈ $17,793
- Craniosynostosis surgery — ≈ $35,463
- Craniotomy — ≈ $24,354
- Deep brain stimulation (DBS) — ≈ $94,621
- Embolization for cerebral arteriovenous malformation (AVM) — ≈ $36,257
- Endoscopic pituitary surgery — ≈ $24,228
- Endoscopic septostomy — ≈ $10,317
- Endoscopic third ventriculostomy (ETV) — ≈ $11,795
- Endovascular coiling for brain aneurysms — ≈ $30,326
- Endovascular stenting of cerebral vessels — ≈ $25,636
- Epidural block — ≈ $1,431
- Extra-intracranial arterial bypass (EIAB) — ≈ $39,043
- Extracranial CSF drainage — $0
- Facet joint injection — ≈ $1,359
- Focal resection — ≈ $13,427
- Functional hemispherectomy — ≈ $26,589
- Functional neurosurgery — ≈ $7,582
- Intracranial mechanical thrombectomy — ≈ $17,259
- Intrathecal pain pump — ≈ $5,483
- Laser interstitial thermal therapy (LITT) — ≈ $33,358
- Lumbar puncture — ≈ $1,372
- Microvascular decompression (MVD) — ≈ $19,911
- Multiple subpial transection (MST) — ≈ $16,530
- Pallidotomy — ≈ $20,015
- Pipeline embolization procedure — $0
- Repair of congenital skull defects — ≈ $9,149
- Responsive neurostimulation (RNS) insertion — ≈ $52,000
- Shunt revision — ≈ $8,568
- Surgery for an acoustic neuroma — ≈ $19,502
- Surgical neurolysis — ≈ $4,023
- Temporal lobe resection — ≈ $28,131
- Vagus nerve stimulator (VNS) implantation — ≈ $9,796
Oncology
- Abdominoperineal resection (APR) — ≈ $28,570
- Adrenalectomy — ≈ $17,107
- Allogeneic bone marrow transplantation (BMT) — $0
- Autologous bone marrow transplantation (BMT) — $0
- Axillary lymphadenectomy — ≈ $5,609
- Bilateral adnexectomy — ≈ $9,696
- Breast reconstruction after mastectomy — ≈ $16,809
- 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 — ≈ $6,391
- Colon polypectomy — ≈ $2,217
- Colorectal endoscopic mucosal resection (EMR) — ≈ $4,308
- Conization — ≈ $4,355
- Cord blood stem cell transplantation — $0
- Cordectomy — ≈ $2,648
- Cryotherapy for skin lesions — ≈ $2,808
- Cystectomy + Bladder reconstruction — ≈ $23,880
- Cystoprostatectomy — ≈ $13,744
- Da Vinci XI robotic system for cancer treatment — $0
- Debulking cytoreductive surgery — ≈ $21,301
- Distal gastric resection — ≈ $12,452
- Distal pancreatectomy — ≈ $26,371
- Double preventive mastectomy — ≈ $10,360
- Duodenectomy — ≈ $4,470
- Endolaryngeal surgery — ≈ $7,552
- Endometriosis surgery — ≈ $7,803
- Esophagogastrectomy — ≈ $110,438
- Extended cholecystectomy — ≈ $31,067
- External beam radiotherapy (EBRT) — $0
- Gamma Knife — $0
- Gastric endoscopic submucosal dissection (ESD) — ≈ $5,007
- Hartmann's operation — ≈ $9,931
- Hematopoietic stem cell harvest — $0
- Hemicolectomy — ≈ $22,358
- Hemilaryngectomy — ≈ $6,200
- Hormone therapy for breast cancer — $0
- Hormone therapy for ovarian cancer — $0
- HyperArc radiotherapy — $0
- Hysteroscopic polypectomy — ≈ $4,879
- Image-guided radiation therapy (IGRT) — $0
- Immune checkpoint inhibitors — $0
- Inguinofemoral lymphadenectomy — ≈ $6,756
- Intensity-modulated radiation therapy (IMRT) — $0
- Intersphincteric resection (ISR) — ≈ $7,062
- Interstitial chemotherapy for brain tumors — $0
- Intraoperative radiotherapy — $0
- Jejunostomy — ≈ $7,462
- LINAC based stereotactic radiosurgery — $0
- Laparascopic myomectomy — ≈ $10,391
- Laparoscopic adnexectomy — ≈ $6,412
- Laparoscopic cholecystectomy — ≈ $7,625
- Laparoscopic ovarian cystectomy — ≈ $7,796
- Laparoscopically assisted vaginal hysterectomy (LAVH) — ≈ $9,002
- Laparoscopy-assisted supracervical hysterectomy (LASH) — ≈ $7,496
- Laproscopic total gastrectomy — ≈ $25,328
- Laser therapy for skin lesions — ≈ $3,127
- Liver transplantation — $0
- Loop electrosurgical excision procedure (LEEP) — ≈ $2,459
- Low anterior resection (LAR) — ≈ $12,970
- Lumpectomy — ≈ $5,657
- Major liver resection — ≈ $45,347
- Mediastinal lymphadenectomy — ≈ $4,125
- Melanoma surgical removal — ≈ $11,922
- Minor liver resection — ≈ $19,913
- Mohs surgery — ≈ $5,854
- Monoclonal antibodies therapy (mAbs) — $0
- Myomectomy — ≈ $6,543
- Nasal cavity cancer surgery — ≈ $16,042
- Natural killer (NK) cell therapy — $0
- Needle biopsy — ≈ $1,099
- Nephroureterectomy — ≈ $18,611
- Nipple and areola reconstruction — ≈ $4,430
- Non-anatomic liver resection (NAR) — ≈ $36,882
- Novalis radiosurgery — $0
- Omentectomy — ≈ $6,033
- Open hysterectomy — ≈ $8,448
- Orchiectomy — ≈ $7,605
- Ovarian transposition — ≈ $2,711
- Pancreaticoduodenectomy — ≈ $37,916
- Paranasal sinus cancer surgery — ≈ $11,977
- Partial cystectomy — ≈ $13,000
- Partial mastectomy — ≈ $7,859
- Partial penectomy — ≈ $8,299
- Partial vulvectomy — ≈ $5,850
- Pelvic bone resection — ≈ $11,451
- Pelvic lymphadenectomy — ≈ $8,889
- Pharyngeal cancer surgery — ≈ $20,677
- Proctocolectomy — ≈ $16,097
- Proximal gastric resection — ≈ $19,386
- Radiation therapy — $0
- Radiation therapy for breast cancer — $0
- Radical cystectomy — ≈ $29,193
- Radical mastectomy — ≈ $17,531
- Radical nephrectomy — ≈ $23,139
- Radical nephrectomy + Inferior vena cava (IVC) thrombectomy — ≈ $16,256
- Radical prostatectomy — ≈ $20,695
- Radical trachelectomy — ≈ $9,705
- Radical vulvectomy — ≈ $9,739
- Radioimmunotherapy — $0
- Radionuclide therapy — $0
- Radiosurgery — $0
- Radiotherapy for brain and spinal tumors — $0
- Radiotherapy for cervical cancer — ≈ $9,584
- Radiotherapy for oral cancer — $0
- Radiotherapy for ovarian cancer — $0
- Radiotherapy for rectal cancer — $0
- Radiotherapy for testicular cancer — $0
- Radiotherapy treatment for soft tissue sarcoma — $0
- Rectum anterior resection — ≈ $21,789
- Removal of benign skin lesions — ≈ $2,194
- Retroperitoneal lymphadenectomy — ≈ $11,498
- Retroperitoneal tumor resection — ≈ $27,429
- Robot-assisted oncosurgery — $0
- Robot-assisted pancreatectomy — ≈ $16,200
- Salpingectomy — ≈ $6,279
- Sentinel node biopsy — ≈ $8,306
- Sigmoidectomy — ≈ $17,401
- Simple mastectomy — ≈ $11,124
- Skin cancer surgery — ≈ $3,321
- Small bowel resection — ≈ $14,934
- Soft tissue tumor removal — ≈ $10,575
- Splenectomy — ≈ $12,877
- Stem cell transplant (peripheral blood) — $0
- Stereotactic body radiation therapy (SBRT) — $0
- Subcutaneous mastectomy — ≈ $5,969
- Subtotal gastrectomy — ≈ $16,595
- Surgery for bone cancer — ≈ $15,915
- Surgical breast biopsy — ≈ $3,366
- TRAM flap breast reconstruction — ≈ $29,804
- Total body irradiation (TBI) — $0
- Total colectomy — ≈ $18,918
- Total esophagectomy — ≈ $46,971
- Total gastrectomy — ≈ $38,839
- Total laparoscopic hysterectomy (TLH) — ≈ $9,490
- Total laparoscopic hysterectomy (TLH) + Bilateral adnexectomy — ≈ $14,731
- Total laryngectomy — ≈ $19,555
- Total pancreatectomy — ≈ $15,661
- Total parietal peritonectomy — $0
- Total penectomy — ≈ $10,342
- Total skin electron therapy (TSET) — $0
- Transanal endoscopic microsurgery (TEM) — ≈ $6,795
- Transurethral incision of the prostate (TUIP) — ≈ $5,659
- Transurethral resection of bladder tumor (TURBT) — ≈ $7,299
- Transurethral resection of the prostate (TURP) — ≈ $9,607
- Tumor-infiltrating lymphocyte (TIL) therapy — $0
- Ureteral cancer surgery — $0
- Urethral cancer surgery — ≈ $6,213
- Vacuum-assisted breast biopsy — ≈ $1,802
- Vaginal hysterectomy — ≈ $9,587
- Vaginectomy — ≈ $6,965
- Volumetric modulated arc therapy (VMAT) — $0
Spine surgery
- Anterior cervical discectomy and fusion (ACDF) — ≈ $22,815
- Anterior lumbar interbody fusion (ALIF) — ≈ $18,070
- Atlantoaxial fixation — ≈ $20,962
- Cervical fusion — ≈ $15,647
- Cervical laminectomy — ≈ $15,502
- Corpectomy + Spinal stabilisation — ≈ $17,935
- Device for intervertebral assisted motion (DIAM) — $0
- Discectomy — ≈ $14,615
- Extreme lateral interbody fusion (XLIF) — $0
- Foraminotomy — ≈ $7,975
- Hemivertebra excision — $0
- Instrumented spine stabilization — ≈ $29,625
- Interspinous fixation with implant — ≈ $19,724
- Kyphoplasty — ≈ $14,826
- Laminectomy — ≈ $18,825
- Laminoplasty — ≈ $19,766
- Lateral access lumbar fusion — $0
- Lumbar fixation — ≈ $27,507
- Lumbar laminectomy — ≈ $13,525
- Lumbosacral plexus surgery — ≈ $32,806
- Microdiscectomy — ≈ $15,035
- Microscopic decompression laminectomy — ≈ $15,885
- Microsurgical extraforaminal decompression — ≈ $11,332
- Minimally invasive cervical laminoforaminotomy — $0
- Minimally invasive transforaminal lumbar interbody fusion (TLIF) — ≈ $29,304
- Nucleoplasty — ≈ $8,816
- Occipitocervical fusion surgery — ≈ $20,503
- Percutaneous endoscopic lumbar discectomy (PELD) — ≈ $18,226
- Percutaneous pedicle screw fixation — ≈ $11,583
- Posterior lumbar interbody fusion (PLIF) — ≈ $16,806
- Robotic spine surgery — $0
- Spina bifida treatment — $0
- Spinal cord herniation surgery — $0
- Spinal deformity correction — ≈ $33,357
- Spinal synovial cyst removal — ≈ $755
- Spine biopsy — ≈ $6,717
- Spine dynamic stabilization — ≈ $11,375
- Spine tumor surgery — ≈ $27,108
- Surgery for spondylolisthesis — ≈ $37,841
- Surgical spine procedures — ≈ $26,770
- Tailbone removal — $0
- Thoracic discectomy — ≈ $21,724
- Thoracic laminectomy — ≈ $10,836
- Thoracic spine fixation — ≈ $9,520
- Total en bloc spondylectomy (TES) — ≈ $22,386
- Transforaminal lumbar interbody fusion (TLIF) — ≈ $24,174
- Vertebroplasty — ≈ $9,360
Orthopedic surgery
- Arthrocentesis — ≈ $1,071
- Arthroscopic adhesiolysis of the knee joint — $0
- Arthroscopic arthrolysis — ≈ $4,441
- Arthroscopic loose bodies removal — ≈ $4,015
- Bow legs surgery — ≈ $7,819
- Delayed osteosynthesis — ≈ $15,750
- Diagnostic arthroscopy — ≈ $5,907
- External fixation — ≈ $1,651
- Intramedullary nailing — ≈ $6,163
- Joint dislocation reduction — ≈ $8,903
- Open reduction and internal fixation (ORIF) — ≈ $9,234
- Orthopedic surgery for cerebral palsy — $0
- Osteosynthesis — ≈ $8,731
- Pediatric arthroscopy — $0
- Percutaneous pinning — ≈ $5,969
- Polydactyly surgery — ≈ $4,942
- Removal of external fixator — ≈ $1,059
- Removal of osteosynthetic material — $0
- Shoulder arthrodesis — ≈ $7,830
- Sternal fracture treatment — ≈ $6,197
- Surgical Treatments for Legg-Calvé-Perthes disease — ≈ $7,269
- Surgical treatment of congenital pseudarthrosis of the tibia — ≈ $26,908
- Surgical treatment of hip dysplasia — ≈ $7,505
- Surgical treatment of non-unions — ≈ $9,446
- Syndactyly surgery — ≈ $12,735
- Wrist arthrodesis — ≈ $5,291