Clinic Hospital Vivian Pellas in Managua

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Private Room, Double room, Suite

The Vivian Pellas Hospital opens its doors with the vision of being the organization that raises the standard of private health in Nicaragua to the highest international level in medical professionalism, excellence, humane treatment and patient safety. Our commitment to life and love for what we do are values that characterize us to achieve the highest esteem of the community we serve.Vivian Pellas Hospital, faithful to its vision, is the only hospital center in Nicaragua accredited by the Joint Commission International.

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Joint Commission International
Prices

Cardiac surgery

  • Angioplasty of the pulmonary artery — ≈ $1,927
  • Aortic valve replacement (AVR) — ≈ $13,052
  • Arterial switch operation (ASO) — ≈ $8,299
  • Atrial septal defect (ASD) repair in children — ≈ $7,465
  • Atrioventricular canal defect surgery — ≈ $8,895
  • Balloon angioplasty and stenting of aorta coarctation — ≈ $4,054
  • Balloon valvuloplasty — ≈ $3,047
  • Bio-prosthetic valve replacement — ≈ $3,203
  • Blalock-Taussig shunt — ≈ $6,880
  • Cardiac catheterization — ≈ $921
  • Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $8,699
  • Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $4,211
  • Change of defibrillator — ≈ $5,687
  • Coil embolization of intracardiac shunts and fistulas — ≈ $2,563
  • Coronary catheterization — ≈ $812
  • Double valve repair — ≈ $4,969
  • Double valve replacement — ≈ $8,341
  • Dual chamber pacemaker insertion — ≈ $6,181
  • Ebstein anomaly correction — ≈ $10,009
  • Fontan procedure — ≈ $6,518
  • Fractional flow reserve (FFR) — ≈ $614
  • Glenn procedure — ≈ $6,067
  • Heart valve repair — ≈ $6,656
  • Heart valve replacement — ≈ $7,403
  • Implantable cardioverter-defibrillator implantation (ICD) — $0
  • Insertion of one electrode for implanted pacemaker or defibrillator — ≈ $5,165
  • Insertion of two electrodes for implanted pacemaker or defibrillator — $0
  • Intraaortic balloon pump (IABP) procedure — ≈ $1,265
  • Leadless Pacemaker implantation Micra and Nanostim — $0
  • Left atrial appendage occlusion — ≈ $5,703
  • Management of ICD system — ≈ $454
  • Management of pacemaker system — ≈ $269
  • Mechanical valve replacement — ≈ $16,803
  • Mitral valve replacement (MVR) — ≈ $6,466
  • Nikaidoh procedure — ≈ $8,772
  • NobleStitch™ PFO closure procedure — $0
  • Norwood procedure — ≈ $8,928
  • Open commissurotomy — ≈ $5,321
  • Open pulmonary valvotomy — ≈ $10,358
  • Pacemaker replacement — ≈ $2,522
  • Partial anomalous pulmonary return (PAPVR) correction — $0
  • Patent ductus arteriosus (PDA) ligation in children — ≈ $4,406
  • Percutaneous ASD closure — ≈ $3,709
  • Percutaneous balloon aortic valvuloplasty (PBAV) — ≈ $4,701
  • Percutaneous balloon mitral valvuloplasty (PBMV) — ≈ $3,058
  • Percutaneous balloon pulmonary valvuloplasty (PBPV) — ≈ $5,068
  • Percutaneous balloon tricuspid valvuloplasty (PBTV) — ≈ $1,937
  • Percutaneous closure of ventricular septal defect (VSD) — ≈ $6,725
  • Percutaneous coronary intervention (PCI) with angioplasty — ≈ $2,835
  • Percutaneous coronary intervention (PCI) with stent insertion — ≈ $6,136
  • Permanent pacemaker implantation — ≈ $4,408
  • Pulmonary artery banding (PAB) — ≈ $2,821
  • Pulmonary artery thromboendarterectomy — ≈ $6,134
  • Radical correction of tetralogy of Fallot (TOF) — ≈ $4,684
  • Rashkind procedure — ≈ $4,668
  • Rastelli procedure — ≈ $6,570
  • Removal of permanent pacemaker — ≈ $1,806
  • Rotational atherectomy — ≈ $953
  • Single chamber pacemaker insertion — ≈ $6,178
  • Temporary pacemaker implantation — ≈ $443
  • Total anomalous pulmonary return (TAPVR) correction — ≈ $7,896
  • Transcatheter aortic valve replacement (TAVR) — ≈ $24,606
  • Transcatheter closure of patent ductus arteriosus (PDA) in adults — ≈ $1,996
  • Transcatheter mitral valve repair (TMVR) with MITRACLIP — ≈ $5,385
  • Transcatheter pulmonary valve replacement (PVR) — ≈ $10,742
  • Tricuspid valve replacement (TVR) — ≈ $8,648
  • Truncus arteriosus repair — ≈ $9,438
  • Ventricular septal defect (VSD) repair in children — ≈ $7,465

Thoracic surgery

  • Atypical resections of the lung — ≈ $3,341
  • Bilobectomy — ≈ $5,000
  • Bronchoplastic surgery — ≈ $3,994
  • Chest wall deformity correction — ≈ $2,521
  • Decortication — ≈ $2,189
  • Diagnostic thoracoscopy — ≈ $1,673
  • Diagnostic thoracotomy — ≈ $1,304
  • Endoscopic thoracic sympathectomy (ETS) — ≈ $1,585
  • Esophageal dilation — ≈ $429
  • Esophageal stenting — ≈ $1,526
  • Esophagocoloplasty — ≈ $1,435
  • Extrapleural pneumonectomy (EPP) — ≈ $6,548
  • Laparoscopic myotomy for achalasia — ≈ $916
  • Lobectomy — ≈ $3,972
  • Lung volume reduction surgery (LVRS) — $0
  • Mediastinal cancer surgery — ≈ $3,283
  • Mediastinoscopy — ≈ $3,110
  • Mediastinotomy — $0
  • Open chest surgery — ≈ $7,853
  • Pancoast tumor surgery — ≈ $1,343
  • Pneumonectomy — ≈ $4,259
  • Removal of a malignant tumor of the chest wall — ≈ $1,741
  • Repair of diaphragmatic hernia — $0
  • Rib cancer surgical treatment — ≈ $2,258
  • Sleeve lobectomy — ≈ $6,131
  • Surgery for chest trauma — $0
  • Surgery for lung cancer — ≈ $4,811
  • Surgical removal of lung cyst (including hydatid cyst) — ≈ $3,715
  • Thoracentesis — ≈ $431
  • Thoracoplasty including sternoplasty — ≈ $3,405
  • Thoracoscopic lung resection — ≈ $4,456
  • Thymectomy — ≈ $4,887
  • Trachea and air passages surgery — ≈ $7,170
  • Wedge resection — ≈ $3,442
  • Windpipe cancer surgery — $0

Vascular surgery

  • Angioplasty and stenting of visceral arteries (celiac trunk, superior mesenteric artery) — ≈ $2,305
  • Angioplasty of the arteries of the lower or upper limbs — ≈ $2,493
  • Angioplasty of the brachiocephalic vessels — ≈ $2,012
  • Aortobifemoral stent grafting — ≈ $4,714
  • Aortoiliac allografting — ≈ $14,442
  • Arteriovenous (AV) fistula surgery — ≈ $811
  • Arteriovenous (AV) graft surgery — ≈ $1,191
  • Arteriovenous malformations (AVM) embolization — ≈ $2,523
  • Carotid and intracerebral thrombolysis — ≈ $8,392
  • Carotid angiography — ≈ $566
  • Carotid angioplasty and stenting — ≈ $3,348
  • Carotid endarterectomy (CEA) — ≈ $2,746
  • Catheter embolization — ≈ $1,587
  • Cerebral angiography — ≈ $638
  • Chemodectoma surgery — ≈ $6,449
  • Embolization of peripheral arteries aneurysm — ≈ $4,483
  • Endoscopic vein harvesting (EVH) for coronary artery bypass graft surgery (CABG) — $0
  • Endovascular thrombectomy — ≈ $2,910
  • Femoral artery angiography — ≈ $327
  • Femoral-popliteal bypass graft surgery — ≈ $3,087
  • Internal or external carotid artery embolization — $0
  • Pelvic vein embolization (PVE) — ≈ $1,046
  • Peripheral angiography — ≈ $707
  • Peripheral artery angioplasty and stent placement — ≈ $2,837
  • Peripheral artery bypass — ≈ $3,988
  • Phlebography — ≈ $527
  • Port-a-cath placement — ≈ $762
  • Portocaval anastomosis — $0
  • Prostatic artery embolization (PAE) — ≈ $2,901
  • Pulmonary angiography — ≈ $949
  • Reconstructive surgery for peripheral artery disease (PAD) — ≈ $1,840
  • Renal arteries embolization (RAE) — ≈ $1,270
  • Renal artery angioplasty and stenting — ≈ $2,158
  • Renal artery bypass surgery — ≈ $5,505
  • Secondary Cimino arteriovenous anastomosis surgery — ≈ $585
  • Surgical thrombectomy — ≈ $1,908
  • Uterine artery embolization (UAE) — ≈ $1,900
  • Visceral organs angiography — ≈ $666

Neurosurgery

  • Aqueductoplasty — $0
  • Arteriovenous malformation (AVM) resection — ≈ $7,836
  • Brachial plexus surgery — ≈ $3,145
  • Brain aneurysm clipping — ≈ $4,854
  • Brain aneurysm repair — ≈ $6,609
  • Brain biopsy — ≈ $1,888
  • Brain shunt surgery — ≈ $2,952
  • Brain tumor embolization — ≈ $5,094
  • Brain tumors surgery — ≈ $6,889
  • Burr hole surgery — ≈ $2,376
  • Cavernous malformation treatment — ≈ $5,711
  • Corpus callosotomy — ≈ $4,701
  • Craniofacial surgery — ≈ $3,071
  • Cranioplasty — ≈ $3,387
  • Craniotomy — ≈ $5,878
  • Decompressive craniectomy — ≈ $4,628
  • Deep brain stimulation (DBS) — ≈ $37,984
  • Dorsal root ganglion (DRG) stimulation therapy — ≈ $279
  • Elevation of depressed skull fracture — ≈ $1,999
  • Embolization for cerebral arteriovenous malformation (AVM) — ≈ $7,743
  • Endoscopic pituitary surgery — ≈ $4,653
  • Endoscopic septostomy — ≈ $2,854
  • Endoscopic third ventriculostomy (ETV) — ≈ $2,949
  • Endovascular coiling for brain aneurysms — ≈ $4,287
  • Endovascular stenting of cerebral vessels — ≈ $4,408
  • Epidural block — ≈ $321
  • Epidural hematoma treatment — ≈ $2,352
  • External ventricular drain (EVD) placement — ≈ $1,243
  • Extra-intracranial arterial bypass (EIAB) — ≈ $16,209
  • Extracranial CSF drainage — $0
  • Facet joint injection — ≈ $386
  • Focal resection — ≈ $3,532
  • Functional hemispherectomy — ≈ $7,494
  • Functional neurosurgery — ≈ $3,563
  • Head injury surgery — ≈ $1,297
  • Intracerebral hemorrhage (ICH) surgical treatment — ≈ $3,565
  • Intracranial hemorrhage treatment — ≈ $3,780
  • Intracranial mechanical thrombectomy — ≈ $5,515
  • Intrathecal pain pump — ≈ $1,510
  • Laser interstitial thermal therapy (LITT) — ≈ $4,172
  • Lumbar puncture — ≈ $352
  • Microvascular decompression (MVD) — ≈ $4,533
  • Multiple subpial transection (MST) — ≈ $4,572
  • Occipital nerve stimulation — ≈ $2,431
  • Ommaya reservoir placement — ≈ $2,674
  • Pallidotomy — ≈ $12,270
  • Pipeline embolization procedure — $0
  • Responsive neurostimulation (RNS) insertion — ≈ $7,889
  • Sacral nerve stimulation — ≈ $8,008
  • Shunt revision — ≈ $2,611
  • Skull base surgery — ≈ $6,150
  • Spinal cord stimulation (SCS) — $0
  • Subarachnoid hemorrhage treatment — $0
  • Subdural haematoma treatment — ≈ $3,086
  • Surgery for an acoustic neuroma — ≈ $5,244
  • Surgical neurolysis — ≈ $891
  • Temporal lobe resection — ≈ $11,733
  • Traumatic cerebrospinal fluid leaks surgical repair — ≈ $1,229
  • Vagus nerve stimulator (VNS) implantation — ≈ $2,769

Oncology

  • Abdominoperineal resection (APR) — ≈ $4,391
  • Adrenalectomy — ≈ $3,843
  • Axillary lymphadenectomy — ≈ $1,307
  • Bilateral adnexectomy — ≈ $1,378
  • Breast reconstruction after mastectomy — ≈ $4,354
  • Cervical lymphadenectomy — ≈ $2,401
  • 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
  • Cholecystectomy — ≈ $1,487
  • Colon polypectomy — ≈ $434
  • Colorectal endoscopic mucosal resection (EMR) — ≈ $955
  • Conization — ≈ $715
  • Cord blood stem cell transplantation — $0
  • Cordectomy — ≈ $733
  • Cryotherapy for skin lesions — ≈ $328
  • Cystectomy + Bladder reconstruction — ≈ $6,967
  • Cystoprostatectomy — ≈ $4,596
  • Debulking cytoreductive surgery — ≈ $3,835
  • Distal gastric resection — ≈ $2,516
  • Distal pancreatectomy — ≈ $5,025
  • Double preventive mastectomy — ≈ $1,229
  • Duodenectomy — ≈ $672
  • Endolaryngeal surgery — ≈ $1,536
  • Endometriosis surgery — ≈ $1,569
  • Esophagogastrectomy — ≈ $3,487
  • Extended cholecystectomy — ≈ $3,175
  • Floor of mouth cancer resection — ≈ $1,506
  • Gastric endoscopic submucosal dissection (ESD) — ≈ $654
  • Hartmann's operation — ≈ $3,191
  • Hematopoietic stem cell harvest — $0
  • Hemicolectomy — ≈ $3,663
  • Hemiglossectomy — ≈ $1,378
  • Hemilaryngectomy — ≈ $2,463
  • Hemithyroidectomy — ≈ $1,889
  • Hormone therapy for breast cancer — $0
  • Hormone therapy for ovarian cancer — $0
  • Hysteroscopic polypectomy — ≈ $950
  • Inguinofemoral lymphadenectomy — ≈ $1,806
  • Intersphincteric resection (ISR) — ≈ $1,953
  • Interstitial chemotherapy for brain tumors — $0
  • Jejunostomy — ≈ $2,225
  • Laparascopic myomectomy — ≈ $1,940
  • Laparoscopic adnexectomy — ≈ $1,321
  • Laparoscopic cholecystectomy — ≈ $1,465
  • Laparoscopic ovarian cystectomy — ≈ $1,411
  • Laparoscopically assisted vaginal hysterectomy (LAVH) — ≈ $2,027
  • Laparoscopy-assisted supracervical hysterectomy (LASH) — ≈ $1,685
  • Laproscopic total gastrectomy — ≈ $4,741
  • Laser therapy for skin lesions — ≈ $460
  • Lip resection — ≈ $1,078
  • Loop electrosurgical excision procedure (LEEP) — ≈ $381
  • Low anterior resection (LAR) — ≈ $3,180
  • Lumpectomy — $475-830
  • Major liver resection — ≈ $6,698
  • Mandibular resection — ≈ $3,887
  • Mandibular resection + Reconstruction — ≈ $3,414
  • Mediastinal lymphadenectomy — ≈ $944
  • Melanoma surgical removal — ≈ $1,507
  • Minor liver resection — ≈ $5,007
  • Mohs surgery — ≈ $369
  • Myomectomy — $1,080
  • Nasal cavity cancer surgery — ≈ $1,174
  • Needle biopsy — ≈ $189
  • Nephroureterectomy — ≈ $3,986
  • Nipple and areola reconstruction — ≈ $883
  • Non-anatomic liver resection (NAR) — ≈ $8,545
  • Omentectomy — ≈ $1,294
  • Open hysterectomy — ≈ $2,333
  • Oral cancer surgery — ≈ $3,913
  • Orchiectomy — ≈ $1,723
  • Ovarian transposition — ≈ $750
  • Pancreaticoduodenectomy — ≈ $8,543
  • Paranasal sinus cancer surgery — ≈ $2,847
  • Parathyroidectomy — ≈ $1,365
  • Parotidectomy — ≈ $1,555
  • Partial cystectomy — ≈ $2,235
  • Partial mastectomy — ≈ $1,569
  • Partial penectomy — ≈ $1,641
  • Partial vulvectomy — ≈ $998
  • Pelvic bone resection — ≈ $3,878
  • Pelvic lymphadenectomy — ≈ $2,192
  • Pharyngeal cancer surgery — ≈ $1,416
  • Proctocolectomy — ≈ $6,241
  • Proximal gastric resection — ≈ $4,192
  • Radical cystectomy — ≈ $3,737
  • Radical mastectomy — ≈ $3,331
  • Radical nephrectomy — ≈ $4,480
  • Radical nephrectomy + Inferior vena cava (IVC) thrombectomy — ≈ $5,615
  • Radical prostatectomy — ≈ $4,569
  • Radical trachelectomy — ≈ $2,161
  • Radical vulvectomy — ≈ $2,133
  • Rectum anterior resection — ≈ $3,474
  • Removal of benign skin lesions — ≈ $414
  • Retroperitoneal lymphadenectomy — ≈ $3,351
  • Retroperitoneal tumor resection — ≈ $8,885
  • Salpingectomy — ≈ $1,062
  • Sentinel node biopsy — ≈ $1,564
  • Sigmoidectomy — ≈ $3,588
  • Simple mastectomy — ≈ $1,956
  • Skin cancer surgery — ≈ $707
  • Small bowel resection — ≈ $2,993
  • Soft tissue tumor removal — ≈ $1,693
  • Splenectomy — ≈ $2,595
  • Stem cell transplant (peripheral blood) — $0
  • Stereotactic radiation therapy (SRT) — $0
  • Subcutaneous mastectomy — ≈ $1,982
  • Submandibular gland resection — ≈ $1,085
  • Subtotal gastrectomy — ≈ $3,562
  • Subtotal thyroidectomy — ≈ $2,145
  • Surgery for bone cancer — ≈ $3,355
  • Surgical breast biopsy — ≈ $791
  • TRAM flap breast reconstruction — ≈ $5,140
  • Total colectomy — ≈ $3,311
  • Total esophagectomy — ≈ $5,001
  • Total gastrectomy — ≈ $4,167
  • Total glossectomy — ≈ $2,296
  • Total glossectomy + Reconstruction — $0
  • Total laparoscopic hysterectomy (TLH) — ≈ $2,638
  • Total laparoscopic hysterectomy (TLH) + Bilateral adnexectomy — ≈ $3,264
  • Total laryngectomy — ≈ $3,113
  • Total pancreatectomy — ≈ $4,991
  • Total parietal peritonectomy — $0
  • Total penectomy — ≈ $2,559
  • Total skin electron therapy (TSET) — $0
  • Total thyroidectomy — ≈ $2,234
  • Transanal endoscopic microsurgery (TEM) — ≈ $1,594
  • Transurethral incision of the prostate (TUIP) — ≈ $1,438
  • Transurethral resection of bladder tumor (TURBT) — ≈ $1,890
  • Transurethral resection of the prostate (TURP) — ≈ $2,252
  • Tumor-infiltrating lymphocyte (TIL) therapy — $0
  • Ureteral cancer surgery — $0
  • Urethral cancer surgery — $0
  • Vacuum-assisted breast biopsy — ≈ $660
  • Vaginal hysterectomy — ≈ $2,036
  • Vaginectomy — ≈ $1,131

Spine surgery

  • Anterior cervical discectomy and fusion (ACDF) — ≈ $4,285
  • Anterior lumbar interbody fusion (ALIF) — ≈ $3,062
  • Atlantoaxial fixation — $0
  • Cervical fusion — ≈ $3,257
  • Cervical laminectomy — ≈ $3,211
  • Corpectomy + Spinal stabilisation — ≈ $4,666
  • Device for intervertebral assisted motion (DIAM) — $0
  • Discectomy — ≈ $3,424
  • Extreme lateral interbody fusion (XLIF) — $0
  • Foraminotomy — ≈ $2,482
  • Hemivertebra excision — $0
  • Instrumented spine stabilization — ≈ $5,070
  • Interspinous fixation with implant — ≈ $4,064
  • Kyphoplasty — ≈ $3,279
  • Laminectomy — ≈ $3,363
  • Laminoplasty — ≈ $4,198
  • Lateral access lumbar fusion — $0
  • Lumbar fixation — ≈ $1,361
  • Lumbar laminectomy — ≈ $2,855
  • Lumbosacral plexus surgery — ≈ $4,531
  • Microdiscectomy — ≈ $2,618
  • Microscopic decompression laminectomy — ≈ $3,295
  • Microsurgical extraforaminal decompression — ≈ $3,131
  • Minimally invasive cervical laminoforaminotomy — $0
  • Minimally invasive transforaminal lumbar interbody fusion (TLIF) — ≈ $4,488
  • Nucleoplasty — ≈ $1,650
  • Occipitocervical fusion surgery — ≈ $5,795
  • Percutaneous endoscopic lumbar discectomy (PELD) — ≈ $4,046
  • Percutaneous pedicle screw fixation — ≈ $2,808
  • Posterior lumbar interbody fusion (PLIF) — ≈ $4,041
  • Spina bifida treatment — $0
  • Spinal cord herniation surgery — $0
  • Spinal synovial cyst removal — $0
  • Spine biopsy — ≈ $1,428
  • Spine dynamic stabilization — ≈ $4,011
  • Spine tumor surgery — ≈ $6,760
  • Surgical spine procedures — ≈ $5,630
  • Tailbone removal — $0
  • Thoracic discectomy — ≈ $3,359
  • Thoracic laminectomy — ≈ $3,300
  • Thoracic spine fixation — ≈ $3,525
  • Total en bloc spondylectomy (TES) — ≈ $7,418
  • Transforaminal lumbar interbody fusion (TLIF) — ≈ $3,826
  • Vertebroplasty — ≈ $2,483

Orthopedic surgery

  • Above-the-knee amputations (AKA) — ≈ $1,590
  • Achilles tendon repair surgery — ≈ $1,218
  • Acromioclavicular joint reconstruction — ≈ $1,729
  • Ankle arthrodesis — ≈ $1,950
  • Ankle fracture surgery — ≈ $1,633
  • Ankle ligament reconstruction surgery — ≈ $1,237
  • Ankle osteophyte removal — ≈ $726
  • Ankle osteotomy — ≈ $2,110
  • Arthrocentesis — ≈ $143
  • Arthroscopic adhesiolysis of the knee joint — $0
  • Arthroscopic arthrolysis — ≈ $1,263
  • Arthroscopic biceps tenodesis — ≈ $1,589
  • Arthroscopic capsular release of the ankle joint — ≈ $570
  • Arthroscopic chondroplasty — ≈ $1,758
  • Arthroscopic elbow debridement — ≈ $501
  • Arthroscopic jumper's knee surgery — ≈ $1,557
  • Arthroscopic knee debridement — ≈ $2,213
  • Arthroscopic labrum refixation surgery — ≈ $2,145
  • Arthroscopic loose bodies removal — ≈ $1,381
  • Arthroscopic meniscus repair — ≈ $1,590
  • Arthroscopic partial meniscectomy — ≈ $2,180
  • Arthroscopic reconstruction of the knee ligament — ≈ $2,265
  • Arthroscopic reconstruction of the posterior cruciate ligament (PCL) — ≈ $1,970
  • Arthroscopic rotator cuff repair — ≈ $2,374
  • Arthroscopic shoulder remplissage procedure — ≈ $3,122
  • Arthroscopic synovectomy of the knee joint — ≈ $2,133
  • Arthroscopic total meniscectomy — ≈ $1,907
  • Arthroscopic treatment of prepatellar bursitis — ≈ $1,570
  • Arthroscopic trochanter bursitis surgery — ≈ $779
  • Baker's cyst surgery — ≈ $1,188
  • Bankart shoulder repair surgery — ≈ $1,935
  • Below-the-knee amputation (BKA) — ≈ $1,938
  • Biceps tenotomy — ≈ $1,046
  • Bow legs surgery — ≈ $1,301
  • Carpal tunnel surgery — ≈ $670
  • Clavicle osteosynthesis — ≈ $1,456
  • Claw toe surgery — ≈ $1,362
  • Clubfoot surgical treatment — ≈ $942
  • Complex foot surgery — ≈ $2,294
  • Cubital tunnel syndrome surgery — ≈ $1,009
  • De Quervain's tendon release — ≈ $716
  • Delayed osteosynthesis — ≈ $7,642
  • Diabetic foot surgery — ≈ $2,712
  • Diagnostic arthroscopy — ≈ $1,235
  • Distal biceps tendon repair surgery — ≈ $1,602
  • Dupuytren's contracture surgery — ≈ $921
  • Elbow arthroscopy — ≈ $1,699
  • Elbow fracture surgery — ≈ $726
  • Elbow osteotomy — ≈ $1,859
  • External fixation — ≈ $349
  • Fasciotomy of the lower limb — ≈ $641
  • Femoral osteotomy — ≈ $2,426
  • Finger reconstruction — ≈ $1,635
  • Finger/toe amputation surgery — ≈ $864
  • First metatarsophalangeal joint arthrodesis — ≈ $1,230
  • Foot and ankle arthroscopy — ≈ $1,482
  • Foot and ankle tendon surgery — ≈ $1,925
  • Foot arthrodesis — ≈ $1,761
  • Foot deformity correction — ≈ $1,887
  • Foot drop surgery — ≈ $2,489
  • Foot ganglion cyst removal — ≈ $864
  • Forearm fasciotomy — $0
  • Forearm fracture surgery — ≈ $1,158
  • Frozen shoulder surgery — ≈ $1,506
  • Guyon's canal release — ≈ $847
  • Haglund's deformity surgery — ≈ $1,229
  • Hallux rigidus surgery — ≈ $922
  • Hallux valgus surgery — ≈ $1,382
  • Hammer toe surgery — ≈ $860
  • Hamstring syndrome surgery — ≈ $2,898
  • Hand amputation surgery — ≈ $646
  • Hand ganglion cyst removal — ≈ $497
  • Hand rejuvenation with structural fat grafting — $0
  • Hand surgery — ≈ $1,874
  • Hand tendon surgery — ≈ $1,053
  • Heel bursectomy — ≈ $1,234
  • High tibial osteotomy — ≈ $3,035
  • Hindfoot fracture surgery — ≈ $2,318
  • Hip arthrodesis — ≈ $2,041
  • Hip arthroscopy — ≈ $1,942
  • Hip core decompression — ≈ $1,242
  • Hip debridement surgery — $0
  • Hip fracture surgery — ≈ $2,447
  • Hip osteotomy — ≈ $2,910
  • Hip surgery — ≈ $2,457
  • Humerus fracture surgical treatment — ≈ $2,366
  • Interphalangeal joint arthrodesis — $0
  • Intramedullary nailing — ≈ $1,971
  • Joint dislocation reduction — ≈ $1,791
  • Kidner procedure — ≈ $1,015
  • Knee arthroscopy — ≈ $1,465
  • Knee osteotomy — ≈ $3,179
  • Lapidus arthrodesis — $0
  • Latarjet procedure — ≈ $2,020
  • Mallet finger surgery — ≈ $759
  • Mallet toe surgery — ≈ $1,178
  • Morton’s neuroma surgery — ≈ $891
  • Mumford procedure — ≈ $2,095
  • Muscle transfer — $0
  • Open reduction and internal fixation (ORIF) — ≈ $1,458
  • Orthopedic surgery for cerebral palsy — $0
  • Osgood–Schlatter disease (OSD) surgery — ≈ $1,189
  • Osteosynthesis — ≈ $2,190
  • Outerbridge-Kashiwagi procedure — ≈ $555
  • Partial patellectomy — ≈ $1,980
  • Patella fracture surgery — ≈ $1,728
  • Patella stabilisation surgery — ≈ $1,712
  • Pediatric arthroscopy — $0
  • Pelvic fractures surgical treatment — ≈ $2,917
  • Percutaneous pinning — ≈ $680
  • Piriformis syndrome surgery — $0
  • Plantar fasciitis surgery — ≈ $1,538
  • Polydactyly surgery — ≈ $937
  • Quadriceps tendon reconstruction — ≈ $2,707
  • Quadricepsplasty — $0
  • Radial head excision — ≈ $1,190
  • Radial head fracture surgery — ≈ $1,343
  • Reconstructive surgery for treating pressure ulcers — $0
  • Removal of external fixator — ≈ $354
  • Removal of osteosynthetic material — $0
  • Revision Achilles tendon reconstruction — ≈ $3,378
  • Rotator cuff repair — ≈ $1,671
  • Running injuries surgical treatment — ≈ $1,898
  • SLAP repair surgery — ≈ $1,912
  • Scaphoid pseudarthrosis reconstruction — ≈ $1,866
  • Shoulder arthrodesis — ≈ $1,660
  • Shoulder arthroscopy — ≈ $2,493
  • Shoulder disarticulation — ≈ $2,637
  • Shoulder osteotomy — ≈ $1,123
  • Shoulder stabilisation surgery — ≈ $1,524
  • Shoulder subacromial decompression surgery — ≈ $1,394
  • Sternal fracture treatment — ≈ $523
  • Surgery for hip impingement — ≈ $2,456
  • Surgery for pelvic organ prolapse — ≈ $957
  • Surgical Treatments for Legg-Calvé-Perthes disease — ≈ $2,740
  • Surgical treatment of congenital pseudarthrosis of the tibia — ≈ $6,768
  • Surgical treatment of elbow instability — ≈ $1,753
  • Surgical treatment of hip dysplasia — ≈ $1,178
  • Surgical treatment of non-unions — ≈ $1,115
  • Syndactyly surgery — ≈ $1,183
  • Tailor's bunion surgery — ≈ $1,765
  • Tarsal coalition surgery — $0
  • Tarsal tunnel surgery — ≈ $1,504
  • Tendon repair — ≈ $1,007
  • Tendon transfer — ≈ $1,401
  • Tennis elbow surgery — ≈ $767
  • Tenotomy — ≈ $904
  • Toe joint arthroscopy — ≈ $2,494
  • Toe shortening surgery — ≈ $971
  • Tommy John surgery — ≈ $1,095
  • Total hip replacement (Unilateral) — ≈ $5,512
  • Total knee replacement (Unilateral) — ≈ $5,345
  • Total patellectomy — ≈ $576
  • Trapeziectomy — ≈ $1,240
  • Trigger finger release — ≈ $551
  • Triple pelvic osteotomy — ≈ $2,426
  • Upper limb amputation — ≈ $1,590
  • Weil osteotomy surgery — ≈ $1,063
  • Wrist arthrodesis — ≈ $1,585
  • Wrist arthroscopy — ≈ $1,410
  • Wrist fracture surgery — ≈ $1,161
  • Wrist ligament repair — ≈ $2,556
  • Wrist synovectomy — ≈ $284

Prices for selected procedures, total
$0
Cardiac surgery
Price, USD
≈ $1,927
≈ $13,052
≈ $8,299
≈ $7,465
≈ $8,895
≈ $4,054
≈ $3,047
≈ $3,203
≈ $6,880
≈ $921
≈ $8,699
≈ $4,211
≈ $5,687
≈ $2,563
≈ $812
≈ $4,969
≈ $8,341
≈ $6,181
≈ $10,009
≈ $6,518
≈ $614
≈ $6,067
≈ $6,656
≈ $7,403
by request
≈ $5,165
by request
≈ $1,265
by request
≈ $5,703
≈ $454
≈ $269
≈ $16,803
≈ $6,466
≈ $8,772
by request
≈ $8,928
≈ $5,321
≈ $10,358
≈ $2,522
by request
≈ $4,406
≈ $3,709
≈ $4,701
≈ $3,058
≈ $5,068
≈ $1,937
≈ $6,725
≈ $2,835
≈ $6,136
≈ $4,408
≈ $2,821
≈ $6,134
≈ $4,684
≈ $4,668
≈ $6,570
≈ $1,806
≈ $953
≈ $6,178
≈ $443
≈ $7,896
≈ $24,606
≈ $1,996
≈ $5,385
≈ $10,742
≈ $8,648
≈ $9,438
≈ $7,465
Thoracic surgery
Price, USD
≈ $3,341
≈ $5,000
≈ $3,994
≈ $2,521
≈ $2,189
≈ $1,673
≈ $1,304
≈ $1,585
≈ $429
≈ $1,526
≈ $1,435
≈ $6,548
≈ $916
≈ $3,972
by request
≈ $3,283
≈ $3,110
by request
≈ $7,853
≈ $1,343
≈ $4,259
≈ $1,741
by request
≈ $2,258
≈ $6,131
by request
≈ $4,811
≈ $3,715
≈ $431
≈ $3,405
≈ $4,456
≈ $4,887
≈ $7,170
≈ $3,442
by request
Vascular surgery
Price, USD
≈ $2,305
≈ $2,493
≈ $2,012
≈ $4,714
≈ $14,442
≈ $811
≈ $1,191
≈ $2,523
≈ $8,392
≈ $566
≈ $3,348
≈ $2,746
≈ $1,587
≈ $638
≈ $6,449
≈ $4,483
by request
≈ $2,910
≈ $327
≈ $3,087
by request
≈ $1,046
≈ $707
≈ $2,837
≈ $3,988
≈ $527
≈ $762
by request
≈ $2,901
≈ $949
≈ $1,840
≈ $1,270
≈ $2,158
≈ $5,505
≈ $585
≈ $1,908
≈ $1,900
≈ $666
Neurosurgery
Price, USD
by request
≈ $7,836
≈ $3,145
≈ $4,854
≈ $6,609
≈ $1,888
≈ $2,952
≈ $5,094
≈ $6,889
≈ $2,376
≈ $5,711
≈ $4,701
≈ $3,071
≈ $3,387
≈ $5,878
≈ $4,628
≈ $37,984
≈ $279
≈ $1,999
≈ $7,743
≈ $4,653
≈ $2,854
≈ $2,949
≈ $4,287
≈ $4,408
≈ $321
≈ $2,352
≈ $1,243
≈ $16,209
by request
≈ $386
≈ $3,532
≈ $7,494
≈ $3,563
≈ $1,297
≈ $3,565
≈ $3,780
≈ $5,515
≈ $1,510
≈ $4,172
≈ $352
≈ $4,533
≈ $4,572
≈ $2,431
≈ $2,674
≈ $12,270
by request
≈ $7,889
≈ $8,008
≈ $2,611
≈ $6,150
by request
by request
≈ $3,086
≈ $5,244
≈ $891
≈ $11,733
≈ $1,229
≈ $2,769
Oncology
Price, USD
≈ $4,391
≈ $3,843
≈ $1,307
≈ $1,378
≈ $4,354
≈ $2,401
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
by request
≈ $1,487
≈ $434
≈ $955
≈ $715
by request
≈ $733
≈ $328
≈ $6,967
≈ $4,596
≈ $3,835
≈ $2,516
≈ $5,025
≈ $1,229
≈ $672
≈ $1,536
≈ $1,569
≈ $3,487
≈ $3,175
≈ $1,506
≈ $654
≈ $3,191
by request
≈ $3,663
≈ $1,378
≈ $2,463
≈ $1,889
by request
by request
≈ $950
≈ $1,806
≈ $1,953
by request
≈ $2,225
≈ $1,940
≈ $1,321
≈ $1,465
≈ $1,411
≈ $2,027
≈ $1,685
≈ $4,741
≈ $460
≈ $1,078
≈ $381
≈ $3,180
$475-830
≈ $6,698
≈ $3,887
≈ $3,414
≈ $944
≈ $1,507
≈ $5,007
≈ $369
$1,080
≈ $1,174
≈ $189
≈ $3,986
≈ $883
≈ $8,545
≈ $1,294
≈ $2,333
≈ $3,913
≈ $1,723
≈ $750
≈ $8,543
≈ $2,847
≈ $1,365
≈ $1,555
≈ $2,235
≈ $1,569
≈ $1,641
≈ $998
≈ $3,878
≈ $2,192
≈ $1,416
≈ $6,241
≈ $4,192
≈ $3,737
≈ $3,331
≈ $4,480
≈ $5,615
≈ $4,569
≈ $2,161
≈ $2,133
≈ $3,474
≈ $414
≈ $3,351
≈ $8,885
≈ $1,062
≈ $1,564
≈ $3,588
≈ $1,956
≈ $707
≈ $2,993
≈ $1,693
≈ $2,595
by request
by request
≈ $1,982
≈ $1,085
≈ $3,562
≈ $2,145
≈ $3,355
≈ $791
≈ $5,140
≈ $3,311
≈ $5,001
≈ $4,167
≈ $2,296
by request
≈ $2,638
≈ $3,264
≈ $3,113
≈ $4,991
by request
≈ $2,559
by request
≈ $2,234
≈ $1,594
≈ $1,438
≈ $1,890
≈ $2,252
by request
by request
by request
≈ $660
≈ $2,036
≈ $1,131
Spine surgery
Price, USD
≈ $4,285
≈ $3,062
by request
≈ $3,257
≈ $3,211
≈ $4,666
by request
≈ $3,424
by request
≈ $2,482
by request
≈ $5,070
≈ $4,064
≈ $3,279
≈ $3,363
≈ $4,198
by request
≈ $1,361
≈ $2,855
≈ $4,531
≈ $2,618
≈ $3,295
≈ $3,131
by request
≈ $4,488
≈ $1,650
≈ $5,795
≈ $4,046
≈ $2,808
≈ $4,041
by request
by request
by request
≈ $1,428
≈ $4,011
≈ $6,760
≈ $5,630
by request
≈ $3,359
≈ $3,300
≈ $3,525
≈ $7,418
≈ $3,826
≈ $2,483
Orthopedic surgery
Price, USD
≈ $1,590
≈ $1,218
≈ $1,729
≈ $1,950
≈ $1,633
≈ $1,237
≈ $726
≈ $2,110
≈ $143
by request
≈ $1,263
≈ $1,589
≈ $570
≈ $1,758
≈ $501
≈ $1,557
≈ $2,213
≈ $2,145
≈ $1,381
≈ $1,590
≈ $2,180
≈ $2,265
≈ $1,970
≈ $2,374
≈ $3,122
≈ $2,133
≈ $1,907
≈ $1,570
≈ $779
≈ $1,188
≈ $1,935
≈ $1,938
≈ $1,046
≈ $1,301
≈ $670
≈ $1,456
≈ $1,362
≈ $942
≈ $2,294
≈ $1,009
≈ $716
≈ $7,642
≈ $2,712
≈ $1,235
≈ $1,602
≈ $921
≈ $1,699
≈ $726
≈ $1,859
≈ $349
≈ $641
≈ $2,426
≈ $1,635
≈ $864
≈ $1,230
≈ $1,482
≈ $1,925
≈ $1,761
≈ $1,887
≈ $2,489
≈ $864
by request
≈ $1,158
≈ $1,506
≈ $847
≈ $1,229
≈ $922
≈ $1,382
≈ $860
≈ $2,898
≈ $646
≈ $497
by request
≈ $1,874
≈ $1,053
≈ $1,234
≈ $3,035
≈ $2,318
≈ $2,041
≈ $1,942
≈ $1,242
by request
≈ $2,447
≈ $2,910
≈ $2,457
≈ $2,366
by request
≈ $1,971
≈ $1,791
≈ $1,015
≈ $1,465
≈ $3,179
by request
≈ $2,020
≈ $759
≈ $1,178
≈ $891
≈ $2,095
by request
≈ $1,458
by request
≈ $1,189
≈ $2,190
≈ $555
≈ $1,980
≈ $1,728
≈ $1,712
by request
≈ $2,917
≈ $680
by request
≈ $1,538
≈ $937
≈ $2,707
by request
≈ $1,190
≈ $1,343
by request
≈ $354
by request
≈ $3,378
≈ $1,671
≈ $1,898
≈ $1,912
≈ $1,866
≈ $1,660
≈ $2,493
≈ $2,637
≈ $1,123
≈ $1,524
≈ $1,394
≈ $523
≈ $2,456
≈ $957
≈ $2,740
≈ $6,768
≈ $1,753
≈ $1,178
≈ $1,115
≈ $1,183
≈ $1,765
by request
≈ $1,504
≈ $1,007
≈ $1,401
≈ $767
≈ $904
≈ $2,494
≈ $971
≈ $1,095
≈ $5,512
≈ $5,345
≈ $576
≈ $1,240
≈ $551
≈ $2,426
≈ $1,590
≈ $1,063
≈ $1,585
≈ $1,410
≈ $1,161
≈ $2,556
≈ $284
4.2
Overall rating: 1
April 10, 2021
I had heard a lot about this hospital and I thought that it was a good place to go, but I was wrong. My mom went there to take some medical tests. Her appointment was at 10:00 a.m. and the doctor who had to take care of her show up 1 hour later and there were 3 more people in line before her. I don’t understand why you have to set up an appointment. There wasn’t ac in the waiting room, which is unbelievable since Managua has a really hot weather. I cannot imagine how the service in this place would be if it was free. Of course we had to pay, but I was very disappointed with the service that we received. Vivian Pellas Hospital is a big NO. Primera y última vez que vamos a este lugar.
Overall rating: 5
May 27, 2023
I had to visit the hospital for surgery while backpacking Nicaragua, I speak limited Spanish but all the staff where so friendly and helpful and I can’t fault the care I received for the 9 nights I spent in the hospital. The food was good and even with my broken Spanish, many doctors spoke English or we found a way to communicate. After surgery the staff made me feel safe and looked after, answering any questions I had straight away.
Overall rating: 2
September 22, 2023
I have been a patient at Vivian Pellas for over 9 years in that time I have had 4 surgeries and my wife had her hip replacement done there. My past experiences have been good up until a little over a year ago. Went in for what I thought was hemorrhoid surgery. According to all my papper work which I still have but instead I received a sphincterotomy and no hemorrhoid present at the time. Be carefull there! Still having ongoing problems as a result
Accommodation
Private Room
Double room
Suite
Conveniences
Pharmacy
Physiotherapy
Rehabilitation
Cafeteria
Chapel
Telemedicine
Location
Address
Masaya Highway, Km. 9.8, 200 meters to the west Managua, Nicaragua
Visa
Choose citizenship to see information about visa
Flight tickets
One way
1 adult
No children
Outbound
Wed, 11/20
Direct flight
Indirect flight
20
21
22
23
24
25
26
27
28
29
30
01
02
03
Return
Wed, 11/27
Direct flight
Indirect flight
27
28
29
30
01
02
03
04
05
06
07
08
09
10
Recommended clinics
4
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3.6
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4.1
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3.6
United States, Cleveland
3.8
Mexico, Puebla
3.6
Brazil, Porto Alegre
3.1
Argentina, Buenos Aires
3.2
Argentina, Buenos Aires
4.1
United States, Philadelphia
3.3
Colombia, Bogota
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