Clinic Lozenetz University Hospital in Sofia

Cardiac surgery

• Angioplasty of the pulmonary artery — ≈ $2,227

• Aortic valve replacement (AVR) — $12,700

• Aortic valve replacement (AVR), Mitral valve replacement (MVR) — $14,004

• Atrial septal defect (ASD) repair — $12,700

• Balloon angioplasty and stenting of aorta coarctation — ≈ $5,689

• Balloon valvuloplasty — ≈ $10,248

• Bio-prosthetic valve replacement — ≈ $18,165

• Cardiac catheterization — $589

• Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $10,080

• Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $6,566

• Change of defibrillator — ≈ $3,423

• Coarctectomy in children — ≈ $7,871

• Coil embolization of intracardiac shunts and fistulas — ≈ $3,339

• Coronary artery bypass graft (CABG) — $12,700

• Coronary artery bypass graft (CABG), Aortic valve replacement (AVR) — $14,004

• Coronary artery bypass graft (CABG), Aortic valve replacement (AVR) — $14,004

• Coronary artery bypass graft (CABG), Mitral valve replacement (MVR) — $14,004

• Coronary artery bypass graft (CABG), Mitral valve replacement (MVR) — $14,004

• Coronary catheterization — $589

• Double valve repair — ≈ $13,768

• Double valve replacement — ≈ $13,361

• Dual chamber pacemaker insertion — ≈ $5,347

• Fractional flow reserve (FFR) — $394

• Heart transplantation — $13,027

• Heart tumor surgery — ≈ $9,521

• Heart valve repair — ≈ $12,962

• Heart valve replacement — ≈ $14,037

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

• Insertion of one electrode for implanted pacemaker or defibrillator — ≈ $4,566

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

• Intraaortic balloon pump (IABP) procedure — $1,304

• Leadless Pacemaker implantation Micra and Nanostim — ≈ $5,945

• Left atrial appendage occlusion — ≈ $5,583

• MAZE procedure — ≈ $7,932

• Management of ICD system — ≈ $707

• Management of pacemaker system — ≈ $359

• Mechanical valve replacement — ≈ $16,541

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

• Mitral valve replacement (MVR) — $12,700

• Mitral valve replacement (MVR), Tricuspid valve replacement (TVR) — $14,004

• NobleStitch™ PFO closure procedure — $0

• Off-pump coronary artery bypass surgery — ≈ $11,556

• Open commissurotomy — ≈ $5,835

• Open pulmonary valvotomy — ≈ $10,417

• Open-heart intracardiac foreign body removal — ≈ $11,783

• Pacemaker replacement — ≈ $2,296

• Patent ductus arteriosus (PDA) open heart surgery in adults — ≈ $3,562

• Percutaneous ASD closure — $6,513

• Percutaneous balloon aortic valvuloplasty (PBAV) — $2,608

• Percutaneous balloon mitral valvuloplasty (PBMV) — $2,281

• Percutaneous balloon pulmonary valvuloplasty (PBPV) — $2,281

• Percutaneous balloon tricuspid valvuloplasty (PBTV) — $2,281

• Percutaneous closure of ventricular septal defect (VSD) — $6,513

• Percutaneous coronary intervention (PCI) with angioplasty — $2,281-3,258

• Percutaneous coronary intervention (PCI) with stent insertion — $2,281-3,258

• Pericardiocentesis — $3,258

• Permanent pacemaker implantation — $1,304

• Pulmonary artery thromboendarterectomy — ≈ $5,842

• Rashkind procedure — ≈ $4,416

• Redo heart surgery — ≈ $8,075

• Removal of permanent pacemaker — ≈ $2,818

• Repair of the ruptured sinuses of Valsalva — ≈ $8,589

• Rotational atherectomy — ≈ $1,157

• Septal myectomy — ≈ $7,665

• Single chamber pacemaker insertion — ≈ $4,570

• Surgery for tetralogy of Fallot (TOF) in adults — ≈ $5,439

• Surgical ventricular restoration (SVR) — ≈ $8,053

• Temporary pacemaker implantation — ≈ $486

• Transcatheter aortic valve replacement (TAVR) — $7,817

• Transcatheter closure of patent ductus arteriosus (PDA) in adults — $6,513

• Transcatheter mitral valve repair (TMVR) with MITRACLIP — ≈ $9,878

• Transcatheter pulmonary valve replacement (PVR) — ≈ $9,786

• Tricuspid valve replacement (TVR) — ≈ $8,679

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

• Ventricular septal defect (VSD) repair — $14,004

Thoracic surgery

• Chest wall deformity correction — ≈ $2,911

• Decortication — ≈ $2,673

• Diagnostic thoracoscopy — ≈ $1,238

• Diagnostic thoracotomy — $4,235

• Endoscopic thoracic sympathectomy (ETS) — ≈ $1,954

• Laparoscopic myotomy for achalasia — ≈ $1,421

• Lung transplantation — $0

• Lung volume reduction surgery (LVRS) — $0

• Mediastinoscopy — ≈ $2,674

• Mediastinotomy — $0

• Open chest surgery — ≈ $5,024

• Removal of a malignant tumor of the chest wall — ≈ $1,763

• Repair of diaphragmatic hernia — ≈ $1,589

• Rib cancer surgical treatment — ≈ $2,014

• Surgery for chest trauma — $0

• Surgical removal of lung cyst (including hydatid cyst) — ≈ $2,801

• Thoracentesis — $327

• Thoracoplasty including sternoplasty — ≈ $2,941

• Trachea and air passages surgery — ≈ $5,805

Vascular surgery

• Abdominal aortic aneurysm repair — ≈ $3,448

• Abdominal endovascular aneurysm repair (EVAR) — ≈ $10,196

• Angioplasty and stenting of visceral arteries (celiac trunk, superior mesenteric artery) — ≈ $2,987

• Angioplasty of the arteries of the lower or upper limbs — ≈ $2,557

• Angioplasty of the brachiocephalic vessels — ≈ $1,916

• Aortic arch replacement — ≈ $6,897

• Aortic reconstruction — ≈ $4,431

• Aortobifemoral stent grafting — ≈ $4,489

• Aortography — $653

• Aortoiliac allografting — $6,513-7,817

• Arteriovenous (AV) fistula surgery — $2,608

• Arteriovenous (AV) graft surgery — ≈ $2,017

• Bentall surgery — $14,655

• Bilateral varicose veins surgery — ≈ $1,506

• Carotid and intracerebral thrombolysis — ≈ $7,991

• Carotid angiography — ≈ $609

• Carotid angioplasty and stenting — $3,258

• Carotid endarterectomy (CEA) — $3,582

• Catheter-directed sclerotherapy (CDS) (Bilateral) — ≈ $612

• Catheter-directed sclerotherapy (CDS) (Unilateral) — $165

• Central venous catheter (CVC/CVAD) placement — $134

• Cerebral angiography — ≈ $321

• Chemodectoma surgery — ≈ $3,931

• Complex aortic surgery — ≈ $19,944

• Crossectomy — $653

• Crossectomy + Saphenous vein ligation and stripping + Side vein surgery — ≈ $1,357

• Crossectomy and side vein surgery — ≈ $1,933

• Cryosurgery of varicose veins — ≈ $1,707

• Endoscopic vein harvesting (EVH) for coronary artery bypass graft surgery (CABG) — ≈ $374

• Endovascular repair of peripheral artery aneurysm with a stent-graft — ≈ $5,535

• Endovascular thrombectomy — $2,608

• Endovenous laser ablation (EVLA) for varicose vein (Bilateral) — ≈ $2,236

• Endovenous laser ablation (EVLA) for varicose vein (Unilateral) — ≈ $653

• Femoral artery angiography — ≈ $529

• Femoral-popliteal bypass graft surgery — $4,559-6,513

• Foam sclerotherapy (Bilateral) — ≈ $466

• Foam sclerotherapy (Unilateral) — ≈ $368

• 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 — ≈ $397

• Ligation of incompetent perforator veins — ≈ $388

• Mechanochemical Ablation (MOCA) — ≈ $1,310

• Peripheral angiography — ≈ $243

• Peripheral artery aneurysm surgery — $4,559

• Peripheral artery angioplasty and stent placement — $2,608

• Peripheral artery bypass — ≈ $6,281

• Phlebectomy (including mini-phleboctomy) — ≈ $1,014

• Phlebography — $589

• Portocaval anastomosis — $0

• Pulmonary angiography — ≈ $243

• Radiofrequency ablation (RFA) for varicose veins (Bilateral) — ≈ $1,759

• Radiofrequency ablation (RFA) for varicose veins (Unilateral) — $1,175

• Reconstructive surgery for peripheral artery disease (PAD) — ≈ $5,628

• Renal artery angioplasty and stenting — $2,608

• Renal artery bypass surgery — ≈ $4,727

• Replacement of central venous catheter — ≈ $855

• Ross operation — ≈ $13,176

• Secondary Cimino arteriovenous anastomosis surgery — ≈ $734

• Spider vein sclerotherapy — ≈ $257

• Surgical thrombectomy — ≈ $3,220

• Thoracic aortic aneurysm surgery — ≈ $8,697

• Thoracic endovascular aneurysm repair (TEVAR) — ≈ $10,064

• Unilateral varicose veins surgery — ≈ $1,177

• Valve sparing root replacement (VSRR) — ≈ $6,797

• Varicose vein stripping (Unilateral) — $1,044

• Varicose veins treatment — ≈ $494

• Venaseal glue therapy of varicose vein (Bilateral) — ≈ $2,883

• Venaseal glue therapy of varicose vein (Unilateral) — ≈ $2,128

• Visceral organs angiography — ≈ $243

Neurosurgery

• Brachial plexus surgery — ≈ $4,305

• Burr hole surgery — ≈ $2,006

• Craniofacial surgery — ≈ $3,691

• Cranioplasty — ≈ $2,859

• Decompressive craniectomy — ≈ $5,576

• Elevation of depressed skull fracture — ≈ $3,909

• Epidural block — ≈ $304

• External ventricular drain (EVD) placement — ≈ $778

• Facet joint injection — ≈ $375

• Head injury surgery — ≈ $690

• Intrathecal pain pump — ≈ $1,539

• Ommaya reservoir placement — ≈ $2,546

• Surgical neurolysis — $265

• Traumatic cerebrospinal fluid leaks surgical repair — ≈ $749

Oncology

• Abdominoperineal resection (APR) — ≈ $7,125

• Bilateral adnexectomy — ≈ $849

• Breast reconstruction after mastectomy — ≈ $4,528

• Cholecystectomy — $977

• Colon polypectomy — ≈ $569

• Colorectal endoscopic mucosal resection (EMR) — ≈ $1,102

• Conization — $165

• Cryotherapy for skin lesions — ≈ $723

• Cystectomy + Bladder reconstruction — ≈ $3,890

• Cystoprostatectomy — $2,608

• Debulking cytoreductive surgery — ≈ $4,729

• Distal gastric resection — ≈ $2,636

• Double preventive mastectomy — ≈ $2,663

• Endometriosis surgery — ≈ $1,719

• Extended cholecystectomy — ≈ $5,226

• Gastric endoscopic submucosal dissection (ESD) — ≈ $922

• Hartmann's operation — ≈ $2,599

• Hemicolectomy — $1,304-1,435

• Hemithyroidectomy — ≈ $2,493

• Hysteroscopic polypectomy — ≈ $1,223

• Intersphincteric resection (ISR) — ≈ $1,860

• Laparascopic myomectomy — ≈ $2,556

• Laparoscopic adnexectomy — ≈ $1,689

• Laparoscopic cholecystectomy — ≈ $1,758

• Laparoscopic ovarian cystectomy — ≈ $1,832

• Laparoscopically assisted vaginal hysterectomy (LAVH) — ≈ $2,490

• Laparoscopy-assisted supracervical hysterectomy (LASH) — ≈ $1,937

• Laproscopic total gastrectomy — ≈ $1,682

• Laser therapy for skin lesions — ≈ $743

• Loop electrosurgical excision procedure (LEEP) — ≈ $557

• Low anterior resection (LAR) — ≈ $2,984

• Lumpectomy — ≈ $1,354

• Melanoma surgical removal — ≈ $2,783

• Mohs surgery — ≈ $1,187

• Myomectomy — ≈ $1,550

• Needle biopsy — ≈ $269

• Nipple and areola reconstruction — ≈ $997

• Open hysterectomy — ≈ $977

• Orchiectomy — $296-327

• Ovarian transposition — ≈ $714

• Parathyroidectomy — ≈ $2,128

• Partial cystectomy — ≈ $2,238

• Partial mastectomy — ≈ $718

• Partial penectomy — ≈ $1,946

• Partial vulvectomy — ≈ $1,324

• Pelvic bone resection — ≈ $3,304

• Proctocolectomy — ≈ $4,306

• Proximal gastric resection — ≈ $3,309

• Radical cystectomy — $3,258

• Radical mastectomy — ≈ $4,118

• Radical prostatectomy — $1,954-2,931

• Radical trachelectomy — ≈ $2,394

• Radical vulvectomy — ≈ $2,309

• Rectum anterior resection — ≈ $4,945

• Removal of benign skin lesions — ≈ $296

• Salpingectomy — ≈ $1,456

• Sigmoidectomy — ≈ $3,536

• Simple mastectomy — from $785

• Skin cancer surgery — ≈ $678

• Soft tissue tumor removal — ≈ $2,417

• Subcutaneous mastectomy — ≈ $1,694

• Subtotal gastrectomy — $1,304-1,435

• Subtotal thyroidectomy — ≈ $1,840

• Surgery for bone cancer — $1,371

• Surgical breast biopsy — ≈ $830

• TRAM flap breast reconstruction — ≈ $7,698

• Total colectomy — $1,304-1,435

• Total gastrectomy — $1,954

• Total laparoscopic hysterectomy (TLH) — ≈ $525

• Total laparoscopic hysterectomy (TLH) + Bilateral adnexectomy — ≈ $3,000

• Total penectomy — $458-653

• Total thyroidectomy — $849-1,108

• Transanal endoscopic microsurgery (TEM) — ≈ $1,094

• Transurethral incision of the prostate (TUIP) — ≈ $1,556

• Transurethral resection of bladder tumor (TURBT) — $327-653

• Transurethral resection of the prostate (TURP) — $653

• Urethral cancer surgery — $653

• Vacuum-assisted breast biopsy — ≈ $937

• Vaginal hysterectomy — ≈ $2,758

• Vaginectomy — ≈ $1,575

Spine surgery

• Anterior cervical discectomy and fusion (ACDF) — ≈ $5,820

• Anterior lumbar interbody fusion (ALIF) — ≈ $4,431

• Atlantoaxial fixation — ≈ $6,803

• Cervical fusion — ≈ $3,777

• Cervical laminectomy — ≈ $2,995

• Corpectomy + Spinal stabilisation — ≈ $4,006

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

• Discectomy — ≈ $3,258

• Foraminotomy — ≈ $4,789

• Instrumented spine stabilization — $2,739

• Interspinous fixation with implant — ≈ $3,702

• Laminectomy — from $785

• Laminoplasty — ≈ $4,639

• Lateral access lumbar fusion — $0

• Lumbar fixation — ≈ $8,855

• Lumbar laminectomy — ≈ $3,373

• Lumbosacral plexus surgery — ≈ $8,027

• Occipitocervical fusion surgery — ≈ $4,566

• Percutaneous pedicle screw fixation — ≈ $2,982

• Posterior lumbar interbody fusion (PLIF) — ≈ $4,213

• Spinal cord herniation surgery — $0

• Spinal synovial cyst removal — ≈ $278

• Spine dynamic stabilization — ≈ $3,347

• Surgical spine procedures — ≈ $9,572

• Tailbone removal — $0

• Thoracic discectomy — ≈ $2,103

• Thoracic laminectomy — ≈ $2,280

• Thoracic spine fixation — ≈ $3,407

• Transforaminal lumbar interbody fusion (TLIF) — ≈ $8,193

Orthopedic surgery

• Above-the-knee amputations (AKA) — $785

• Achilles tendon repair surgery — ≈ $2,263

• Ankle arthrodesis — ≈ $3,068

• Ankle fracture surgery — ≈ $2,262

• Ankle ligament reconstruction surgery — ≈ $2,076

• Ankle osteophyte removal — ≈ $876

• Ankle osteotomy — ≈ $2,873

• Arthrocentesis — ≈ $215

• Arthroscopic adhesiolysis of the knee joint — $0

• Arthroscopic arthrolysis — ≈ $1,535

• Arthroscopic capsular release of the ankle joint — ≈ $1,471

• Arthroscopic loose bodies removal — ≈ $1,200

• Below-the-knee amputation (BKA) — $525

• Bow legs surgery — ≈ $2,028

• Carpal tunnel surgery — $198

• Claw toe surgery — ≈ $1,279

• Clubfoot surgical treatment — ≈ $1,042

• Complex foot surgery — ≈ $2,808

• De Quervain's tendon release — ≈ $883

• Delayed osteosynthesis — ≈ $4,481

• Diabetic foot surgery — ≈ $2,583

• Diagnostic arthroscopy — $296

• Dupuytren's contracture surgery — ≈ $1,078

• Elbow replacement — $2,608

• External fixation — $327

• Finger reconstruction — ≈ $1,577

• Finger/toe amputation surgery — ≈ $898

• First metatarsophalangeal joint arthrodesis — ≈ $1,759

• Foot amputation — $327

• Foot and ankle arthroscopy — ≈ $2,426

• Foot and ankle tendon surgery — ≈ $1,472

• Foot arthrodesis — ≈ $2,718

• Foot deformity correction — ≈ $2,125

• Foot drop surgery — ≈ $3,258

• Foot ganglion cyst removal — ≈ $916

• Forearm fracture surgery — ≈ $1,316

• Guyon's canal release — ≈ $881

• Haglund's deformity surgery — ≈ $1,554

• Hallux rigidus surgery — ≈ $1,260

• Hallux valgus surgery — ≈ $2,026

• Hammer toe surgery — ≈ $962

• Hand amputation surgery — $327

• Hand ganglion cyst removal — $33

• Hand rejuvenation with structural fat grafting — ≈ $2,157

• Hand surgery — ≈ $1,883

• Hand tendon surgery — ≈ $920

• Heel bursectomy — ≈ $1,089

• Hindfoot fracture surgery — ≈ $2,017

• Hip revision — $4,235

• Interphalangeal joint arthrodesis — ≈ $2,602

• Intramedullary nailing — $589

• Joint dislocation reduction — ≈ $1,980

• Kidner procedure — ≈ $819

• Knee revision — $4,235

• Lapidus arthrodesis — ≈ $3,829

• Mallet finger surgery — ≈ $888

• Mallet toe surgery — ≈ $1,222

• Morton’s neuroma surgery — ≈ $969

• Muscle transfer — $0

• Open reduction and internal fixation (ORIF) — ≈ $2,405

• Orthopedic surgery for cerebral palsy — $0

• Osteosynthesis — $296-653

• Partial hip replacement — $1,893

• Pediatric arthroscopy — $0

• Percutaneous pinning — ≈ $1,056

• Plantar fasciitis surgery — ≈ $1,173

• Polydactyly surgery — ≈ $1,111

• Removal of external fixator — ≈ $301

• Removal of osteosynthetic material — $0

• Revision — $4,235

• Revision Achilles tendon reconstruction — ≈ $2,900

• Scaphoid pseudarthrosis reconstruction — ≈ $1,874

• Shoulder arthrodesis — ≈ $2,107

• Shoulder disarticulation — ≈ $1,607

• Sternal fracture treatment — ≈ $1,647

• Surgical Treatments for Legg-Calvé-Perthes disease — ≈ $2,210

• Surgical treatment of congenital pseudarthrosis of the tibia — ≈ $5,811

• Surgical treatment of hip dysplasia — ≈ $1,540

• Surgical treatment of non-unions — ≈ $1,485

• Syndactyly surgery — $394

• Tailor's bunion surgery — ≈ $1,712

• Tarsal coalition surgery — $0

• Tarsal tunnel surgery — $198

• Tendon repair — $327

• Tendon transfer — ≈ $1,516

• Tenotomy — $165

• Toe joint arthroscopy — ≈ $2,130

• Toe shortening surgery — ≈ $1,139

• Total hip replacement (Unilateral) — $3,389

• Total knee replacement (Unilateral) — $3,389

• Total shoulder replacement — $2,608

• Trapeziectomy — ≈ $1,775

• Trigger finger release — ≈ $666

• Upper limb amputation — ≈ $1,124

• Weil osteotomy surgery — ≈ $1,100

• Wrist arthrodesis — ≈ $1,684

• Wrist arthroscopy — ≈ $2,364

• Wrist fracture surgery — ≈ $1,658

• Wrist ligament repair — ≈ $2,667

• Wrist replacement — $589

• Wrist synovectomy — ≈ $271