Clinic Lozenetz University Hospital in Sofia

Cardiac surgery

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

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

• Aortic valve replacement (AVR), Mitral valve replacement (MVR) — $12,765

• Atrial septal defect (ASD) repair — $11,577

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

• Balloon valvuloplasty — ≈ $9,569

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

• Cardiac catheterization — $537

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

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

• Change of defibrillator — ≈ $3,118

• Coarctectomy in children — ≈ $7,182

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

• Coronary artery bypass graft (CABG) — $11,577

• Coronary artery bypass graft (CABG), Aortic valve replacement (AVR) — $12,765

• Coronary artery bypass graft (CABG), Aortic valve replacement (AVR) — $12,765

• Coronary artery bypass graft (CABG), Mitral valve replacement (MVR) — $12,765

• Coronary artery bypass graft (CABG), Mitral valve replacement (MVR) — $12,765

• Coronary catheterization — $537

• Double valve repair — ≈ $12,625

• Double valve replacement — ≈ $12,638

• Dual chamber pacemaker insertion — ≈ $4,906

• Fractional flow reserve (FFR) — $357

• Heart transplantation — $11,874

• Heart tumor surgery — ≈ $8,703

• Heart valve repair — ≈ $11,988

• Heart valve replacement — ≈ $12,952

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

• 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

• MAZE procedure — ≈ $7,279

• Management of ICD system — ≈ $648

• Management of pacemaker system — ≈ $329

• Mechanical valve replacement — ≈ $15,432

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

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

• Mitral valve replacement (MVR), Tricuspid valve replacement (TVR) — $12,765

• NobleStitch™ PFO closure procedure — $0

• Off-pump coronary artery bypass surgery — ≈ $10,564

• Open commissurotomy — ≈ $5,320

• Open pulmonary valvotomy — ≈ $9,523

• Open-heart intracardiac foreign body removal — ≈ $10,738

• Pacemaker replacement — ≈ $2,091

• Patent ductus arteriosus (PDA) open heart surgery in adults — ≈ $3,241

• Percutaneous ASD closure — $5,937

• Percutaneous balloon aortic valvuloplasty (PBAV) — $2,375

• Percutaneous balloon mitral valvuloplasty (PBMV) — $2,078

• Percutaneous balloon pulmonary valvuloplasty (PBPV) — $2,078

• Percutaneous balloon tricuspid valvuloplasty (PBTV) — $2,078

• Percutaneous closure of ventricular septal defect (VSD) — $5,937

• Percutaneous coronary intervention (PCI) with angioplasty — $2,078-2,968

• Percutaneous coronary intervention (PCI) with stent insertion — $2,078-2,968

• Pericardiocentesis — $2,968

• Permanent pacemaker implantation — $1,187

• Pulmonary artery thromboendarterectomy — ≈ $5,315

• Rashkind procedure — ≈ $4,122

• Redo heart surgery — ≈ $7,846

• Removal of permanent pacemaker — ≈ $2,575

• Repair of the ruptured sinuses of Valsalva — ≈ $7,916

• Rotational atherectomy — ≈ $1,062

• Septal myectomy — ≈ $6,975

• Single chamber pacemaker insertion — ≈ $4,233

• Surgery for tetralogy of Fallot (TOF) in adults — ≈ $4,976

• Surgical ventricular restoration (SVR) — ≈ $7,336

• Temporary pacemaker implantation — ≈ $442

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

• Transcatheter closure of patent ductus arteriosus (PDA) in adults — $5,937

• Transcatheter mitral valve repair (TMVR) with MITRACLIP — ≈ $9,082

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

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

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

• Ventricular septal defect (VSD) repair — $12,765

Thoracic surgery

• Chest wall deformity correction — ≈ $2,647

• Decortication — ≈ $2,467

• Diagnostic thoracoscopy — ≈ $1,129

• Diagnostic thoracotomy — $3,859

• Endoscopic thoracic sympathectomy (ETS) — ≈ $1,781

• Laparoscopic myotomy for achalasia — ≈ $1,325

• Lung transplantation — $0

• Lung volume reduction surgery (LVRS) — $0

• Mediastinoscopy — ≈ $2,433

• Mediastinotomy — $0

• Open chest surgery — ≈ $4,565

• Removal of a malignant tumor of the chest wall — ≈ $1,623

• Repair of diaphragmatic hernia — ≈ $1,446

• Rib cancer surgical treatment — ≈ $1,843

• Surgery for chest trauma — $0

• Surgical removal of lung cyst (including hydatid cyst) — ≈ $2,550

• Thoracentesis — $297

• Thoracoplasty including sternoplasty — ≈ $2,688

• Trachea and air passages surgery — ≈ $5,280

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 — $5,937-7,124

• Arteriovenous (AV) fistula surgery — $2,375

• Arteriovenous (AV) graft surgery — ≈ $1,833

• Bentall surgery — $13,358

• Bilateral varicose veins surgery — ≈ $1,425

• Carotid and intracerebral thrombolysis — ≈ $7,271

• Carotid angiography — ≈ $554

• 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 — $120

• Cerebral angiography — ≈ $291

• 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 repair of peripheral artery aneurysm with a stent-graft — ≈ $5,036

• Endovascular thrombectomy — $2,375

• Endovenous laser ablation (EVLA) for varicose vein (Bilateral) — ≈ $2,034

• Endovenous laser ablation (EVLA) for varicose vein (Unilateral) — ≈ $594

• Femoral artery angiography — ≈ $481

• Femoral-popliteal bypass graft surgery — $4,156-5,937

• Foam sclerotherapy (Bilateral) — ≈ $424

• Foam sclerotherapy (Unilateral) — ≈ $334

• 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 — ≈ $360

• Ligation of incompetent perforator veins — ≈ $354

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

• Peripheral angiography — ≈ $221

• Peripheral artery aneurysm surgery — $4,156

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

• Peripheral artery bypass — ≈ $5,759

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

• Phlebography — $537

• Portocaval anastomosis — $0

• Pulmonary angiography — ≈ $221

• 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

• Visceral organs angiography — ≈ $221

Neurosurgery

• Brachial plexus surgery — ≈ $3,928

• Burr hole surgery — ≈ $1,829

• Craniofacial surgery — ≈ $3,389

• Cranioplasty — ≈ $2,602

• Decompressive craniectomy — ≈ $5,103

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

• Epidural block — ≈ $279

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

• Facet joint injection — ≈ $348

• Head injury surgery — ≈ $626

• Intrathecal pain pump — ≈ $1,402

• Ommaya reservoir placement — ≈ $2,317

• Surgical neurolysis — $240

• Traumatic cerebrospinal fluid leaks surgical repair — ≈ $679

Oncology

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

• Bilateral adnexectomy — ≈ $773

• Breast reconstruction after mastectomy — ≈ $4,099

• Cholecystectomy — $891

• Colon polypectomy — ≈ $542

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

• Conization — $150

• Cryotherapy for skin lesions — ≈ $688

• Cystectomy + Bladder reconstruction — ≈ $3,544

• Cystoprostatectomy — $2,375

• Debulking cytoreductive surgery — ≈ $4,330

• Distal gastric resection — ≈ $2,438

• Double preventive mastectomy — ≈ $2,658

• Endometriosis surgery — ≈ $1,573

• Extended cholecystectomy — ≈ $4,752

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

• Hartmann's operation — ≈ $2,367

• Hemicolectomy — $1,187-1,307

• Hemithyroidectomy — ≈ $2,250

• Hysteroscopic polypectomy — ≈ $1,057

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

• Laparascopic myomectomy — ≈ $2,069

• Laparoscopic adnexectomy — ≈ $1,536

• Laparoscopic cholecystectomy — ≈ $1,603

• Laparoscopic ovarian cystectomy — ≈ $1,687

• Laparoscopically assisted vaginal hysterectomy (LAVH) — ≈ $2,279

• Laparoscopy-assisted supracervical hysterectomy (LASH) — ≈ $1,766

• Laproscopic total gastrectomy — ≈ $1,532

• Laser therapy for skin lesions — ≈ $692

• Loop electrosurgical excision procedure (LEEP) — ≈ $493

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

• Lumpectomy — ≈ $1,255

• Melanoma surgical removal — ≈ $2,670

• Mohs surgery — ≈ $1,087

• Myomectomy — ≈ $1,395

• Needle biopsy — ≈ $246

• Nipple and areola reconstruction — ≈ $916

• Open hysterectomy — ≈ $891

• Orchiectomy — $270-297

• Ovarian transposition — ≈ $650

• Parathyroidectomy — ≈ $1,953

• Partial cystectomy — ≈ $2,045

• Partial mastectomy — ≈ $654

• Partial penectomy — ≈ $1,673

• Partial vulvectomy — ≈ $1,218

• Pelvic bone resection — ≈ $3,011

• Proctocolectomy — ≈ $3,921

• Proximal gastric resection — ≈ $3,027

• Radical cystectomy — $2,968

• Radical mastectomy — ≈ $3,747

• Radical prostatectomy — $1,781-2,672

• Radical trachelectomy — ≈ $2,192

• Radical vulvectomy — ≈ $2,116

• Rectum anterior resection — ≈ $4,629

• Removal of benign skin lesions — ≈ $270

• Salpingectomy — ≈ $1,333

• Sigmoidectomy — ≈ $3,238

• Simple mastectomy — from $714

• Skin cancer surgery — ≈ $617

• Soft tissue tumor removal — ≈ $2,391

• Subcutaneous mastectomy — ≈ $1,558

• Subtotal gastrectomy — $1,187-1,307

• Subtotal thyroidectomy — ≈ $1,658

• Surgery for bone cancer — $1,247

• Surgical breast biopsy — ≈ $775

• TRAM flap breast reconstruction — ≈ $7,020

• Total colectomy — $1,187-1,307

• Total gastrectomy — $1,781

• Total laparoscopic hysterectomy (TLH) — ≈ $477

• Total laparoscopic hysterectomy (TLH) + Bilateral adnexectomy — ≈ $2,739

• Total penectomy — $417-594

• Total thyroidectomy — $773-1,010

• Transanal endoscopic microsurgery (TEM) — ≈ $730

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

• Transurethral resection of bladder tumor (TURBT) — $297-594

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

• Urethral cancer surgery — $594

• Vacuum-assisted breast biopsy — ≈ $865

• Vaginal hysterectomy — ≈ $2,518

• Vaginectomy — ≈ $1,448

Spine surgery

• Anterior cervical discectomy and fusion (ACDF) — ≈ $5,291

• Anterior lumbar interbody fusion (ALIF) — ≈ $4,047

• Atlantoaxial fixation — ≈ $6,183

• Cervical fusion — ≈ $3,442

• Cervical laminectomy — ≈ $2,719

• Corpectomy + Spinal stabilisation — ≈ $3,663

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

• Discectomy — ≈ $2,968

• Foraminotomy — ≈ $2,043

• Instrumented spine stabilization — $2,495

• Interspinous fixation with implant — ≈ $3,370

• Laminectomy — from $714

• Laminoplasty — ≈ $4,249

• Lateral access lumbar fusion — $0

• Lumbar fixation — ≈ $6,155

• Lumbar laminectomy — ≈ $3,068

• Lumbosacral plexus surgery — ≈ $7,361

• Occipitocervical fusion surgery — ≈ $4,160

• Percutaneous pedicle screw fixation — ≈ $2,713

• Posterior lumbar interbody fusion (PLIF) — ≈ $3,835

• Spinal cord herniation surgery — $0

• Spinal synovial cyst removal — ≈ $308

• Spine dynamic stabilization — ≈ $3,043

• Surgical spine procedures — ≈ $8,726

• Tailbone removal — $0

• Thoracic discectomy — ≈ $1,915

• Thoracic laminectomy — ≈ $2,078

• Thoracic spine fixation — ≈ $3,113

• Transforaminal lumbar interbody fusion (TLIF) — ≈ $7,515

Orthopedic surgery

• Above-the-knee amputations (AKA) — $714

• Achilles tendon repair surgery — ≈ $2,053

• Ankle arthrodesis — ≈ $2,709

• Ankle fracture surgery — ≈ $2,083

• Ankle ligament reconstruction surgery — ≈ $1,897

• Ankle osteophyte removal — ≈ $801

• Ankle osteotomy — ≈ $2,617

• Arthrocentesis — ≈ $199

• Arthroscopic adhesiolysis of the knee joint — $0

• Arthroscopic arthrolysis — ≈ $946

• Arthroscopic capsular release of the ankle joint — ≈ $1,336

• Arthroscopic loose bodies removal — ≈ $1,093

• Below-the-knee amputation (BKA) — $477

• Bow legs surgery — ≈ $1,859

• Carpal tunnel surgery — $180

• Claw toe surgery — ≈ $1,166

• Clubfoot surgical treatment — ≈ $957

• Complex foot surgery — ≈ $2,559

• De Quervain's tendon release — ≈ $806

• Delayed osteosynthesis — ≈ $4,086

• Diabetic foot surgery — ≈ $2,350

• Diagnostic arthroscopy — $270

• Dupuytren's contracture surgery — ≈ $995

• Elbow replacement — $2,375

• External fixation — $297

• Finger reconstruction — ≈ $1,437

• Finger/toe amputation surgery — ≈ $820

• First metatarsophalangeal joint arthrodesis — ≈ $1,605

• Foot amputation — $297

• Foot and ankle arthroscopy — ≈ $2,210

• Foot and ankle tendon surgery — ≈ $1,345

• Foot arthrodesis — ≈ $2,493

• Foot deformity correction — ≈ $1,945

• Foot drop surgery — ≈ $2,977

• Foot ganglion cyst removal — ≈ $863

• Forearm fracture surgery — ≈ $1,199

• Guyon's canal release — ≈ $808

• Haglund's deformity surgery — ≈ $1,415

• Hallux rigidus surgery — ≈ $960

• Hallux valgus surgery — ≈ $1,819

• Hammer toe surgery — ≈ $880

• Hand amputation surgery — $297

• Hand ganglion cyst removal — $30

• Hand rejuvenation with structural fat grafting — ≈ $1,966

• Hand surgery — ≈ $1,731

• Hand tendon surgery — ≈ $839

• Heel bursectomy — ≈ $1,000

• Hindfoot fracture surgery — ≈ $1,837

• Hip revision — $3,859

• Interphalangeal joint arthrodesis — ≈ $2,369

• Intramedullary nailing — $537

• Joint dislocation reduction — ≈ $1,778

• Kidner procedure — ≈ $747

• Knee revision — $3,859

• Lapidus arthrodesis — ≈ $3,488

• Mallet finger surgery — ≈ $818

• Mallet toe surgery — ≈ $1,113

• Morton’s neuroma surgery — ≈ $881

• Muscle transfer — $0

• Open reduction and internal fixation (ORIF) — ≈ $2,185

• Orthopedic surgery for cerebral palsy — $0

• Osteosynthesis — $270-594

• Partial hip replacement — $1,724

• Pediatric arthroscopy — $0

• Percutaneous pinning — ≈ $984

• Plantar fasciitis surgery — ≈ $1,068

• Polydactyly surgery — ≈ $1,019

• Removal of external fixator — ≈ $273

• Removal of osteosynthetic material — $0

• Revision — $3,859

• Revision Achilles tendon reconstruction — ≈ $2,642

• Scaphoid pseudarthrosis reconstruction — ≈ $1,709

• Shoulder arthrodesis — ≈ $1,928

• Shoulder disarticulation — ≈ $1,461

• Sternal fracture treatment — ≈ $1,498

• Surgical Treatments for Legg-Calvé-Perthes disease — ≈ $2,016

• Surgical treatment of congenital pseudarthrosis of the tibia — ≈ $5,293

• Surgical treatment of hip dysplasia — ≈ $1,428

• Surgical treatment of non-unions — ≈ $1,117

• Syndactyly surgery — $357

• Tailor's bunion surgery — ≈ $1,560

• Tarsal coalition surgery — $0

• Tarsal tunnel surgery — $180

• Tendon repair — $297

• Tendon transfer — ≈ $1,381

• Tenotomy — $150

• Toe joint arthroscopy — ≈ $1,923

• Toe shortening surgery — ≈ $1,038

• Total hip replacement (Unilateral) — $3,088

• Total knee replacement (Unilateral) — $3,088

• Total shoulder replacement — $2,375

• Trapeziectomy — ≈ $1,618

• Trigger finger release — ≈ $617

• Upper limb amputation — ≈ $1,021

• Weil osteotomy surgery — ≈ $1,005

• Wrist arthrodesis — ≈ $1,533

• Wrist arthroscopy — ≈ $2,154

• Wrist fracture surgery — ≈ $1,516

• Wrist ligament repair — ≈ $2,429

• Wrist replacement — $537

• Wrist synovectomy — ≈ $246