Clinic Lozenetz University Hospital in Sofia

Cardiac surgery

• Angioplasty of the pulmonary artery — ≈ $2,210

• Aortic valve replacement (AVR) — $12,593

• Aortic valve replacement (AVR), Mitral valve replacement (MVR) — $13,886

• Atrial septal defect (ASD) repair — $12,593

• Balloon angioplasty and stenting of aorta coarctation — ≈ $5,641

• Balloon valvuloplasty — ≈ $10,258

• Bio-prosthetic valve replacement — ≈ $18,071

• Cardiac catheterization — $584

• Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $9,993

• Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $6,510

• Change of defibrillator — ≈ $3,394

• Coarctectomy in children — ≈ $7,813

• Coil embolization of intracardiac shunts and fistulas — ≈ $3,310

• Coronary artery bypass graft (CABG) — $12,593

• Coronary artery bypass graft (CABG), Aortic valve replacement (AVR) — $13,886

• Coronary artery bypass graft (CABG), Aortic valve replacement (AVR) — $13,886

• Coronary artery bypass graft (CABG), Mitral valve replacement (MVR) — $13,886

• Coronary artery bypass graft (CABG), Mitral valve replacement (MVR) — $13,886

• Coronary catheterization — $584

• Double valve repair — ≈ $13,692

• Double valve replacement — ≈ $13,251

• Dual chamber pacemaker insertion — ≈ $5,310

• Fractional flow reserve (FFR) — $390

• Heart transplantation — $12,917

• Heart tumor surgery — ≈ $9,440

• Heart valve repair — ≈ $12,914

• Heart valve replacement — ≈ $13,963

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

• Insertion of one electrode for implanted pacemaker or defibrillator — ≈ $4,527

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

• Intraaortic balloon pump (IABP) procedure — $1,293

• Leadless Pacemaker implantation Micra and Nanostim — ≈ $5,892

• Left atrial appendage occlusion — ≈ $5,536

• MAZE procedure — ≈ $7,866

• Management of ICD system — ≈ $702

• Management of pacemaker system — ≈ $357

• Mechanical valve replacement — ≈ $16,574

• Minimally invasive valvular heart surgery with valve repair or replacement — $0

• Mitral valve replacement (MVR) — $12,593

• Mitral valve replacement (MVR), Tricuspid valve replacement (TVR) — $13,886

• NobleStitch™ PFO closure procedure — $0

• Off-pump coronary artery bypass surgery — ≈ $11,469

• Open commissurotomy — ≈ $5,782

• Open pulmonary valvotomy — ≈ $10,339

• Open-heart intracardiac foreign body removal — ≈ $11,683

• Pacemaker replacement — ≈ $2,277

• Patent ductus arteriosus (PDA) open heart surgery in adults — ≈ $3,532

• Percutaneous ASD closure — $6,458

• Percutaneous balloon aortic valvuloplasty (PBAV) — $2,586

• Percutaneous balloon mitral valvuloplasty (PBMV) — $2,262

• Percutaneous balloon pulmonary valvuloplasty (PBPV) — $2,262

• Percutaneous balloon tricuspid valvuloplasty (PBTV) — $2,262

• Percutaneous closure of ventricular septal defect (VSD) — $6,458

• Percutaneous coronary intervention (PCI) with angioplasty — $2,262-3,231

• Percutaneous coronary intervention (PCI) with stent insertion — $2,262-3,231

• Pericardiocentesis — $3,231

• Permanent pacemaker implantation — $1,293

• Pulmonary artery thromboendarterectomy — ≈ $5,793

• Rashkind procedure — ≈ $4,391

• Redo heart surgery — ≈ $8,200

• Removal of permanent pacemaker — ≈ $2,794

• Repair of the ruptured sinuses of Valsalva — ≈ $8,537

• Rotational atherectomy — ≈ $1,148

• Septal myectomy — ≈ $7,601

• Single chamber pacemaker insertion — ≈ $4,563

• Surgery for tetralogy of Fallot (TOF) in adults — ≈ $5,393

• Surgical ventricular restoration (SVR) — ≈ $7,983

• Temporary pacemaker implantation — ≈ $482

• Transcatheter aortic valve replacement (TAVR) — $7,751

• Transcatheter closure of patent ductus arteriosus (PDA) in adults — $6,458

• Transcatheter mitral valve repair (TMVR) with MITRACLIP — ≈ $9,793

• Transcatheter pulmonary valve replacement (PVR) — ≈ $9,702

• Tricuspid valve replacement (TVR) — ≈ $8,605

• Ventricular assist device (LVAD, RVAD, BVAD) implantation — $0

• Ventricular septal defect (VSD) repair — $13,886

Thoracic surgery

• Chest wall deformity correction — ≈ $2,870

• Decortication — ≈ $2,652

• Diagnostic thoracoscopy — ≈ $1,228

• Diagnostic thoracotomy — $4,199

• Endoscopic thoracic sympathectomy (ETS) — ≈ $1,938

• Laparoscopic myotomy for achalasia — ≈ $1,411

• Lung transplantation — $0

• Lung volume reduction surgery (LVRS) — $0

• Mediastinoscopy — ≈ $2,652

• Mediastinotomy — $0

• Open chest surgery — ≈ $4,982

• Removal of a malignant tumor of the chest wall — ≈ $1,749

• Repair of diaphragmatic hernia — ≈ $1,575

• Rib cancer surgical treatment — ≈ $1,997

• Surgery for chest trauma — $0

• Surgical removal of lung cyst (including hydatid cyst) — ≈ $2,778

• Thoracentesis — $324

• Thoracoplasty including sternoplasty — ≈ $2,916

• Trachea and air passages surgery — ≈ $5,756

Vascular surgery

• Abdominal aortic aneurysm repair — ≈ $3,419

• Abdominal endovascular aneurysm repair (EVAR) — ≈ $10,109

• Angioplasty and stenting of visceral arteries (celiac trunk, superior mesenteric artery) — ≈ $2,962

• Angioplasty of the arteries of the lower or upper limbs — ≈ $2,535

• Angioplasty of the brachiocephalic vessels — ≈ $1,900

• Aortic arch replacement — ≈ $6,842

• Aortic reconstruction — ≈ $4,393

• Aortobifemoral stent grafting — ≈ $4,452

• Aortography — $648

• Aortoiliac allografting — $6,458-7,751

• Arteriovenous (AV) fistula surgery — $2,586

• Arteriovenous (AV) graft surgery — ≈ $1,999

• Bentall surgery — $14,531

• Bilateral varicose veins surgery — ≈ $1,493

• Carotid and intracerebral thrombolysis — ≈ $7,924

• Carotid angiography — ≈ $603

• Carotid angioplasty and stenting — $3,231

• Carotid endarterectomy (CEA) — $3,552

• Catheter-directed sclerotherapy (CDS) (Bilateral) — ≈ $607

• Catheter-directed sclerotherapy (CDS) (Unilateral) — $163

• Central venous catheter (CVC/CVAD) placement — $133

• Cerebral angiography — ≈ $318

• Chemodectoma surgery — ≈ $3,898

• Complex aortic surgery — ≈ $19,770

• Crossectomy — $648

• Crossectomy + Saphenous vein ligation and stripping + Side vein surgery — ≈ $1,344

• Crossectomy and side vein surgery — ≈ $1,918

• Cryosurgery of varicose veins — ≈ $1,692

• Endoscopic vein harvesting (EVH) for coronary artery bypass graft surgery (CABG) — ≈ $371

• Endovascular repair of peripheral artery aneurysm with a stent-graft — ≈ $5,488

• Endovascular thrombectomy — $2,586

• Endovenous laser ablation (EVLA) for varicose vein (Bilateral) — ≈ $2,218

• Endovenous laser ablation (EVLA) for varicose vein (Unilateral) — ≈ $648

• Femoral artery angiography — ≈ $524

• Femoral-popliteal bypass graft surgery — $4,521-6,458

• Foam sclerotherapy (Bilateral) — ≈ $462

• Foam sclerotherapy (Unilateral) — ≈ $365

• Hybrid varicose veins treatment (open+endovascular) — $0

• Iliac artery aneurysms stent grafting — $0

• Internal or external carotid artery embolization — $0

• Laser treatment for spider veins — ≈ $393

• Ligation of incompetent perforator veins — ≈ $385

• Mechanochemical Ablation (MOCA) — ≈ $1,299

• Peripheral angiography — ≈ $241

• Peripheral artery aneurysm surgery — $4,521

• Peripheral artery angioplasty and stent placement — $2,586

• Peripheral artery bypass — ≈ $6,236

• Phlebectomy (including mini-phleboctomy) — ≈ $1,005

• Phlebography — $584

• Portocaval anastomosis — $0

• Pulmonary angiography — ≈ $241

• Radiofrequency ablation (RFA) for varicose veins (Bilateral) — ≈ $1,744

• Radiofrequency ablation (RFA) for varicose veins (Unilateral) — $1,165

• Reconstructive surgery for peripheral artery disease (PAD) — ≈ $5,579

• Renal artery angioplasty and stenting — $2,586

• Renal artery bypass surgery — ≈ $4,687

• Replacement of central venous catheter — ≈ $848

• Ross operation — ≈ $13,063

• Secondary Cimino arteriovenous anastomosis surgery — ≈ $728

• Spider vein sclerotherapy — ≈ $255

• Surgical thrombectomy — ≈ $3,193

• Thoracic aortic aneurysm surgery — ≈ $8,625

• Thoracic endovascular aneurysm repair (TEVAR) — ≈ $9,978

• Unilateral varicose veins surgery — ≈ $1,167

• Valve sparing root replacement (VSRR) — ≈ $6,740

• Varicose vein stripping (Unilateral) — $1,035

• Varicose veins treatment — ≈ $490

• Venaseal glue therapy of varicose vein (Bilateral) — ≈ $2,858

• Venaseal glue therapy of varicose vein (Unilateral) — ≈ $2,110

• Visceral organs angiography — ≈ $241

Neurosurgery

• Brachial plexus surgery — ≈ $4,271

• Burr hole surgery — ≈ $1,989

• Craniofacial surgery — ≈ $3,663

• Cranioplasty — ≈ $2,834

• Decompressive craniectomy — ≈ $5,527

• Elevation of depressed skull fracture — ≈ $3,876

• Epidural block — ≈ $301

• External ventricular drain (EVD) placement — ≈ $771

• Facet joint injection — ≈ $373

• Head injury surgery — ≈ $684

• Intrathecal pain pump — ≈ $1,526

• Ommaya reservoir placement — ≈ $2,525

• Surgical neurolysis — $263

• Traumatic cerebrospinal fluid leaks surgical repair — ≈ $743

Oncology

• Abdominoperineal resection (APR) — ≈ $7,102

• Bilateral adnexectomy — ≈ $842

• Breast reconstruction after mastectomy — ≈ $4,487

• Cholecystectomy — $969

• Colon polypectomy — ≈ $567

• Colorectal endoscopic mucosal resection (EMR) — ≈ $1,092

• Conization — $163

• Cryotherapy for skin lesions — ≈ $728

• Cystectomy + Bladder reconstruction — ≈ $3,857

• Cystoprostatectomy — $2,586

• Debulking cytoreductive surgery — ≈ $4,690

• Distal gastric resection — ≈ $2,613

• Double preventive mastectomy — ≈ $2,640

• Endometriosis surgery — ≈ $1,703

• Extended cholecystectomy — ≈ $5,176

• Gastric endoscopic submucosal dissection (ESD) — ≈ $913

• Hartmann's operation — ≈ $2,577

• Hemicolectomy — $1,293-1,423

• Hemithyroidectomy — ≈ $2,471

• Hysteroscopic polypectomy — ≈ $1,212

• Intersphincteric resection (ISR) — ≈ $1,845

• Laparascopic myomectomy — ≈ $2,533

• Laparoscopic adnexectomy — ≈ $1,675

• Laparoscopic cholecystectomy — ≈ $1,743

• Laparoscopic ovarian cystectomy — ≈ $1,816

• Laparoscopically assisted vaginal hysterectomy (LAVH) — ≈ $2,468

• Laparoscopy-assisted supracervical hysterectomy (LASH) — ≈ $1,921

• Laproscopic total gastrectomy — ≈ $1,668

• Laser therapy for skin lesions — ≈ $740

• Loop electrosurgical excision procedure (LEEP) — ≈ $552

• Low anterior resection (LAR) — ≈ $2,961

• Lumpectomy — ≈ $1,343

• Melanoma surgical removal — ≈ $2,780

• Mohs surgery — ≈ $1,177

• Myomectomy — ≈ $1,537

• Needle biopsy — ≈ $266

• Nipple and areola reconstruction — ≈ $989

• Open hysterectomy — ≈ $969

• Orchiectomy — $293-324

• Ovarian transposition — ≈ $708

• Parathyroidectomy — ≈ $2,110

• Partial cystectomy — ≈ $2,218

• Partial mastectomy — ≈ $711

• Partial penectomy — ≈ $1,930

• Partial vulvectomy — ≈ $1,313

• Pelvic bone resection — ≈ $3,275

• Proctocolectomy — ≈ $4,270

• Proximal gastric resection — ≈ $3,282

• Radical cystectomy — $3,231

• Radical mastectomy — ≈ $4,081

• Radical prostatectomy — $1,938-2,907

• Radical trachelectomy — ≈ $2,375

• Radical vulvectomy — ≈ $2,290

• Rectum anterior resection — ≈ $4,922

• Removal of benign skin lesions — ≈ $293

• Salpingectomy — ≈ $1,444

• Sigmoidectomy — ≈ $3,509

• Simple mastectomy — from $778

• Skin cancer surgery — ≈ $673

• Soft tissue tumor removal — ≈ $2,396

• Subcutaneous mastectomy — ≈ $1,681

• Subtotal gastrectomy — $1,293-1,423

• Subtotal thyroidectomy — ≈ $1,823

• Surgery for bone cancer — $1,359

• Surgical breast biopsy — ≈ $825

• TRAM flap breast reconstruction — ≈ $7,634

• Total colectomy — $1,293-1,423

• Total gastrectomy — $1,938

• Total laparoscopic hysterectomy (TLH) — ≈ $520

• Total laparoscopic hysterectomy (TLH) + Bilateral adnexectomy — ≈ $2,975

• Total penectomy — $454-648

• Total thyroidectomy — $842-1,099

• Transanal endoscopic microsurgery (TEM) — ≈ $1,085

• Transurethral incision of the prostate (TUIP) — ≈ $1,544

• Transurethral resection of bladder tumor (TURBT) — $324-648

• Transurethral resection of the prostate (TURP) — $648

• Urethral cancer surgery — $648

• Vacuum-assisted breast biopsy — ≈ $929

• Vaginal hysterectomy — ≈ $2,735

• Vaginectomy — ≈ $1,562

Spine surgery

• Anterior cervical discectomy and fusion (ACDF) — ≈ $5,769

• Anterior lumbar interbody fusion (ALIF) — ≈ $4,393

• Atlantoaxial fixation — ≈ $6,743

• Cervical fusion — ≈ $3,745

• Cervical laminectomy — ≈ $2,969

• Corpectomy + Spinal stabilisation — ≈ $3,973

• Device for intervertebral assisted motion (DIAM) — $0

• Discectomy — ≈ $3,231

• Foraminotomy — ≈ $2,222

• Instrumented spine stabilization — $2,716

• Interspinous fixation with implant — ≈ $3,670

• Laminectomy — from $778

• Laminoplasty — ≈ $4,601

• Lateral access lumbar fusion — $0

• Lumbar fixation — ≈ $6,749

• Lumbar laminectomy — ≈ $3,344

• Lumbosacral plexus surgery — ≈ $7,967

• Occipitocervical fusion surgery — ≈ $4,528

• Percutaneous pedicle screw fixation — ≈ $2,956

• Posterior lumbar interbody fusion (PLIF) — ≈ $4,178

• Spinal cord herniation surgery — $0

• Spinal synovial cyst removal — ≈ $276

• Spine dynamic stabilization — ≈ $3,315

• Surgical spine procedures — ≈ $9,491

• Tailbone removal — $0

• Thoracic discectomy — ≈ $2,085

• Thoracic laminectomy — ≈ $2,260

• Thoracic spine fixation — ≈ $3,379

• Transforaminal lumbar interbody fusion (TLIF) — ≈ $8,111

Orthopedic surgery

• Above-the-knee amputations (AKA) — $778

• Achilles tendon repair surgery — ≈ $2,240

• Ankle arthrodesis — ≈ $2,931

• Ankle fracture surgery — ≈ $2,240

• Ankle ligament reconstruction surgery — ≈ $2,055

• Ankle osteophyte removal — ≈ $869

• Ankle osteotomy — ≈ $2,847

• Arthrocentesis — ≈ $213

• Arthroscopic adhesiolysis of the knee joint — $0

• Arthroscopic arthrolysis — ≈ $1,522

• Arthroscopic capsular release of the ankle joint — ≈ $1,458

• Arthroscopic loose bodies removal — ≈ $1,190

• Below-the-knee amputation (BKA) — $520

• Bow legs surgery — ≈ $2,015

• Carpal tunnel surgery — $197

• Claw toe surgery — ≈ $1,268

• Clubfoot surgical treatment — ≈ $1,034

• Complex foot surgery — ≈ $2,784

• De Quervain's tendon release — ≈ $876

• Delayed osteosynthesis — ≈ $4,442

• Diabetic foot surgery — ≈ $2,561

• Diagnostic arthroscopy — $293

• Dupuytren's contracture surgery — ≈ $1,069

• Elbow replacement — $2,586

• External fixation — $324

• Finger reconstruction — ≈ $1,563

• Finger/toe amputation surgery — ≈ $891

• First metatarsophalangeal joint arthrodesis — ≈ $1,743

• Foot amputation — $324

• Foot and ankle arthroscopy — ≈ $2,405

• Foot and ankle tendon surgery — ≈ $1,460

• Foot arthrodesis — ≈ $2,689

• Foot deformity correction — ≈ $2,107

• Foot drop surgery — ≈ $3,230

• Foot ganglion cyst removal — ≈ $908

• Forearm fracture surgery — ≈ $1,304

• Guyon's canal release — ≈ $874

• Haglund's deformity surgery — ≈ $1,540

• Hallux rigidus surgery — ≈ $1,045

• Hallux valgus surgery — ≈ $1,978

• Hammer toe surgery — ≈ $954

• Hand amputation surgery — $324

• Hand ganglion cyst removal — $33

• Hand rejuvenation with structural fat grafting — ≈ $2,138

• Hand surgery — ≈ $1,869

• Hand tendon surgery — ≈ $912

• Heel bursectomy — ≈ $1,080

• Hindfoot fracture surgery — ≈ $2,000

• Hip revision — $4,199

• Interphalangeal joint arthrodesis — ≈ $2,579

• Intramedullary nailing — $584

• Joint dislocation reduction — ≈ $1,961

• Kidner procedure — ≈ $811

• Knee revision — $4,199

• Lapidus arthrodesis — ≈ $3,795

• Mallet finger surgery — ≈ $881

• Mallet toe surgery — ≈ $1,211

• Morton’s neuroma surgery — ≈ $960

• Muscle transfer — $0

• Open reduction and internal fixation (ORIF) — ≈ $2,384

• Orthopedic surgery for cerebral palsy — $0

• Osteosynthesis — $293-648

• Partial hip replacement — $1,877

• Pediatric arthroscopy — $0

• Percutaneous pinning — ≈ $1,048

• Plantar fasciitis surgery — ≈ $1,163

• Polydactyly surgery — ≈ $1,100

• Removal of external fixator — ≈ $299

• Removal of osteosynthetic material — $0

• Revision — $4,199

• Revision Achilles tendon reconstruction — ≈ $2,876

• Scaphoid pseudarthrosis reconstruction — ≈ $1,859

• Shoulder arthrodesis — ≈ $2,092

• Shoulder disarticulation — ≈ $1,594

• Sternal fracture treatment — ≈ $1,633

• Surgical Treatments for Legg-Calvé-Perthes disease — ≈ $2,191

• Surgical treatment of congenital pseudarthrosis of the tibia — ≈ $5,761

• Surgical treatment of hip dysplasia — ≈ $1,528

• Surgical treatment of non-unions — ≈ $1,473

• Syndactyly surgery — $390

• Tailor's bunion surgery — ≈ $1,698

• Tarsal coalition surgery — $0

• Tarsal tunnel surgery — $197

• Tendon repair — $324

• Tendon transfer — ≈ $1,503

• Tenotomy — $163

• Toe joint arthroscopy — ≈ $2,109

• Toe shortening surgery — ≈ $1,129

• Total hip replacement (Unilateral) — $3,361

• Total knee replacement (Unilateral) — $3,361

• Total shoulder replacement — $2,586

• Trapeziectomy — ≈ $1,760

• Trigger finger release — ≈ $661

• Upper limb amputation — ≈ $1,114

• Weil osteotomy surgery — ≈ $1,091

• Wrist arthrodesis — ≈ $1,670

• Wrist arthroscopy — ≈ $2,343

• Wrist fracture surgery — ≈ $1,644

• Wrist ligament repair — ≈ $2,643

• Wrist replacement — $584

• Wrist synovectomy — ≈ $268