Clinic Aleksandrovska University Hospital in Sofia

Cardiac surgery

• Angioplasty of the pulmonary artery — ≈ $2,080

• Aortic valve replacement (AVR) — ≈ $11,775

• Balloon angioplasty and stenting of aorta coarctation — ≈ $4,887

• Bio-prosthetic valve replacement — ≈ $17,152

• Cardiac catheterization — $2,005

• Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $9,428

• Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $6,093

• Change of defibrillator — ≈ $3,172

• Coil embolization of intracardiac shunts and fistulas — ≈ $3,095

• Coronary catheterization — $2,005

• Double valve repair — ≈ $12,975

• Double valve replacement — ≈ $12,879

• Dual chamber pacemaker insertion — ≈ $4,983

• Fractional flow reserve (FFR) — ≈ $363

• Heart valve repair — ≈ $12,186

• Heart valve replacement — ≈ $13,122

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

• Insertion of Optimizer smart implantable pulse generator (IPD) system — ≈ $4,990

• Insertion of one electrode for implanted pacemaker or defibrillator — ≈ $4,260

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

• Intraaortic balloon pump (IABP) procedure — ≈ $1,208

• Leadless Pacemaker implantation Micra and Nanostim — ≈ $5,620

• Left atrial appendage occlusion — ≈ $5,191

• Loop recorder implantation (ILR) — ≈ $2,463

• Loop recorder removal — ≈ $1,024

• Management of ICD system — ≈ $659

• Management of pacemaker system — ≈ $334

• Mechanical valve replacement — ≈ $15,753

• Mitral valve replacement (MVR) — ≈ $11,775

• NobleStitch™ PFO closure procedure — $0

• Pacemaker replacement — ≈ $2,127

• Percutaneous ASD closure — ≈ $4,517

• Percutaneous closure of ventricular septal defect (VSD) — ≈ $4,517

• Percutaneous coronary intervention (PCI) with angioplasty — ≈ $3,563

• Percutaneous coronary intervention (PCI) with stent insertion — $2,072-2,742

• Permanent pacemaker implantation — ≈ $1,208

• Pulmonary artery thromboendarterectomy — ≈ $5,407

• Rashkind procedure — ≈ $4,149

• Removal of permanent pacemaker — ≈ $2,619

• Rotational atherectomy — ≈ $1,079

• Single chamber pacemaker insertion — ≈ $4,304

• Temporary pacemaker implantation — ≈ $450

• Transcatheter aortic valve replacement (TAVR) — ≈ $7,246

• Transcatheter closure of patent ductus arteriosus (PDA) in adults — ≈ $4,517

• Transcatheter pulmonary valve replacement (PVR) — ≈ $9,078

• Tricuspid valve replacement (TVR) — ≈ $8,099

Vascular surgery

• Abdominal aortic aneurysm repair — ≈ $3,196

• Abdominal endovascular aneurysm repair (EVAR) — ≈ $9,459

• Angioplasty and stenting of visceral arteries (celiac trunk, superior mesenteric artery) — ≈ $2,773

• Angioplasty of the arteries of the lower or upper limbs — ≈ $2,370

• Angioplasty of the brachiocephalic vessels — ≈ $1,773

• Aortic arch replacement — ≈ $6,439

• Aortic reconstruction — ≈ $4,102

• Aortobifemoral stent grafting — ≈ $4,155

• Aortography — ≈ $604

• Aortoiliac allografting — ≈ $7,971

• Arteriovenous (AV) fistula surgery — $122

• Arteriovenous (AV) graft surgery — $122

• Bentall surgery — ≈ $13,586

• Bilateral varicose veins surgery — ≈ $1,450

• Carotid and intracerebral thrombolysis — ≈ $7,396

• Carotid angioplasty and stenting — ≈ $3,019

• Carotid endarterectomy (CEA) — ≈ $3,321

• Catheter-directed sclerotherapy (CDS) (Bilateral) — ≈ $565

• Catheter-directed sclerotherapy (CDS) (Unilateral) — ≈ $152

• Central venous catheter (CVC/CVAD) placement — $49

• Chemodectoma surgery — ≈ $3,631

• Complex aortic surgery — ≈ $18,488

• Crossectomy — ≈ $604

• Crossectomy + Saphenous vein ligation and stripping + Side vein surgery — ≈ $1,249

• Crossectomy and side vein surgery — ≈ $1,791

• Cryosurgery of varicose veins — ≈ $1,580

• Endoscopic vein harvesting (EVH) for coronary artery bypass graft surgery (CABG) — ≈ $353

• Endovascular thrombectomy — ≈ $2,415

• Endovenous laser ablation (EVLA) for varicose vein (Bilateral) — ≈ $2,070

• Endovenous laser ablation (EVLA) for varicose vein (Unilateral) — ≈ $604

• Femoral-popliteal bypass graft surgery — ≈ $7,125

• Foam sclerotherapy (Bilateral) — ≈ $431

• Foam sclerotherapy (Unilateral) — ≈ $340

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

• Internal or external carotid artery embolization — $0

• Laser treatment for spider veins — ≈ $366

• Ligation of incompetent perforator veins — ≈ $360

• Mechanochemical Ablation (MOCA) — ≈ $1,224

• Peripheral artery angioplasty and stent placement — ≈ $2,415

• Peripheral artery bypass — ≈ $5,880

• Phlebectomy (including mini-phleboctomy) — ≈ $938

• Port-a-cath placement — ≈ $152

• Portocaval anastomosis — $0

• Radiofrequency ablation (RFA) for varicose veins (Bilateral) — ≈ $1,634

• Radiofrequency ablation (RFA) for varicose veins (Unilateral) — ≈ $1,089

• Reconstructive surgery for peripheral artery disease (PAD) — ≈ $5,219

• Renal artery angioplasty and stenting — ≈ $2,415

• Renal artery bypass surgery — ≈ $4,379

• Replacement of central venous catheter — ≈ $791

• Ross operation — ≈ $12,183

• Secondary Cimino arteriovenous anastomosis surgery — ≈ $687

• Spider vein sclerotherapy — ≈ $238

• Surgical thrombectomy — ≈ $2,961

• Thoracic aortic aneurysm surgery — ≈ $8,115

• Thoracic endovascular aneurysm repair (TEVAR) — ≈ $9,328

• Unilateral varicose veins surgery — ≈ $1,121

• Valve sparing root replacement (VSRR) — ≈ $6,291

• Varicose vein stripping (Unilateral) — ≈ $967

• Varicose veins treatment — ≈ $457

• Venaseal glue therapy of varicose vein (Bilateral) — ≈ $2,672

• Venaseal glue therapy of varicose vein (Unilateral) — ≈ $1,972

Thoracic surgery

• Esophageal dilation — ≈ $455

• Esophageal stenting — ≈ $1,269

• Esophagocoloplasty — ≈ $1,683

• Windpipe cancer surgery — ≈ $14,520

Neurosurgery

• Brain biopsy — ≈ $1,445

• Brain tumors surgery — ≈ $5,095

• Burr hole surgery — ≈ $1,860

• Craniofacial surgery — ≈ $3,448

• Cranioplasty — ≈ $2,646

• Craniotomy — ≈ $546

• Decompressive craniectomy — ≈ $5,191

• Elevation of depressed skull fracture — ≈ $3,623

• Endoscopic pituitary surgery — ≈ $4,831

• Epidural block — ≈ $284

• Epidural hematoma treatment — ≈ $1,720

• External ventricular drain (EVD) placement — ≈ $720

• Facet joint injection — ≈ $356

• Head injury surgery — $637

• Intracerebral hemorrhage (ICH) surgical treatment — $468

• Intracranial hemorrhage treatment — ≈ $3,899

• Intrathecal pain pump — ≈ $1,426

• Ommaya reservoir placement — ≈ $2,356

• Subarachnoid hemorrhage treatment — $604

• Subdural haematoma treatment — ≈ $3,751

• Surgery for an acoustic neuroma — ≈ $6,038

• Surgical neurolysis — ≈ $244

• Traumatic cerebrospinal fluid leaks surgical repair — ≈ $691

Spine surgery

• Spine biopsy — ≈ $1,383

• Spine fractures surgical treatment — ≈ $9,141

• Spine tumor surgery — ≈ $6,096

• Total en bloc spondylectomy (TES) — ≈ $5,254

Oncology

• Abdominoperineal resection (APR) — ≈ $6,823

• Adrenalectomy — ≈ $3,791

• Breast reconstruction after mastectomy — ≈ $4,165

• Cervical lymphadenectomy — ≈ $3,253

• Chemotherapy for leukemia — $0

• Chemotherapy for lymphoma — $0

• Chemotherapy for myeloma — $0

• Cholecystectomy — ≈ $821

• Colon polypectomy — ≈ $551

• Colorectal endoscopic mucosal resection (EMR) — ≈ $1,023

• Cord blood stem cell transplantation — $0

• Cordectomy — ≈ $658

• Cryotherapy for skin lesions — ≈ $693

• Cystectomy + Bladder reconstruction — ≈ $3,605

• Cystoprostatectomy — ≈ $2,338

• Distal gastric resection — ≈ $2,481

• Distal pancreatectomy — ≈ $5,562

• Double preventive mastectomy — ≈ $2,704

• Duodenectomy — $1,429-1,510

• Endolaryngeal surgery — ≈ $1,356

• Esophagogastrectomy — ≈ $23,847

• Extended cholecystectomy — ≈ $4,753

• Floor of mouth cancer resection — ≈ $847

• Gastric endoscopic submucosal dissection (ESD) — ≈ $846

• Hartmann's operation — ≈ $2,407

• Hematopoietic stem cell harvest — $0

• Hemicolectomy — ≈ $3,298

• Hemiglossectomy — ≈ $1,369

• Hemilaryngectomy — ≈ $1,387

• Hemithyroidectomy — ≈ $2,291

• Intersphincteric resection (ISR) — ≈ $1,754

• Intraoperative radiotherapy — $0

• Jejunostomy — ≈ $1,811

• Laparoscopic cholecystectomy — $454

• Laproscopic total gastrectomy — $1,429-1,510

• Laser therapy for skin lesions — ≈ $695

• Lip resection — ≈ $3,008

• Low anterior resection (LAR) — ≈ $2,773

• Lumpectomy — ≈ $1,278

• Major liver resection — ≈ $4,677

• Mandibular resection — ≈ $4,780

• Mandibular resection + Reconstruction — ≈ $4,002

• Melanoma surgical removal — ≈ $2,709

• Minor liver resection — ≈ $3,200

• Mohs surgery — ≈ $1,106

• Nasal cavity cancer surgery — $1,510

• Needle biopsy — ≈ $251

• Nephroureterectomy — ≈ $4,183

• Nipple and areola reconstruction — ≈ $931

• Non-anatomic liver resection (NAR) — ≈ $7,300

• Omentectomy — ≈ $871

• Oral cancer surgery — ≈ $7,380

• Orchiectomy — ≈ $319

• Pancreaticoduodenectomy — from $2,415

• Paranasal sinus cancer surgery — $1,510

• Parathyroidectomy — ≈ $1,986

• Parotidectomy — ≈ $1,497

• Partial cystectomy — ≈ $2,080

• Partial mastectomy — $665

• Partial penectomy — ≈ $1,700

• Pharyngeal cancer surgery — ≈ $4,222

• Proctocolectomy — ≈ $3,988

• Proximal gastric resection — ≈ $3,075

• Radiation therapy — $0

• Radical cystectomy — $1,933

• Radical mastectomy — ≈ $3,814

• Radical nephrectomy — ≈ $4,839

• Radical nephrectomy + Inferior vena cava (IVC) thrombectomy — ≈ $3,818

• Radical prostatectomy — $1,510

• Rectum anterior resection — ≈ $4,689

• Removal of benign skin lesions — from $274

• Retroperitoneal tumor resection — ≈ $5,745

• Sigmoidectomy — ≈ $3,291

• Simple mastectomy — ≈ $636

• Skin cancer surgery — from $274

• Small bowel resection — ≈ $3,258

• Splenectomy — ≈ $2,565

• Stem cell transplant (peripheral blood) — $0

• Subcutaneous mastectomy — ≈ $1,582

• Submandibular gland resection — ≈ $1,157

• Subtotal gastrectomy — ≈ $1,403

• Subtotal thyroidectomy — ≈ $1,690

• Surgical breast biopsy — ≈ $791

• TRAM flap breast reconstruction — ≈ $7,141

• Total colectomy — ≈ $1,403

• Total esophagectomy — $1,429-1,510

• Total gastrectomy — ≈ $3,925

• Total glossectomy — ≈ $1,868

• Total glossectomy + Reconstruction — $0

• Total laryngectomy — $1,354

• Total pancreatectomy — ≈ $3,302

• Total parietal peritonectomy — $0

• Total penectomy — ≈ $712

• Total skin electron therapy (TSET) — $0

• Total thyroidectomy — ≈ $1,172

• Transanal endoscopic microsurgery (TEM) — ≈ $742

• Transurethral incision of the prostate (TUIP) — ≈ $1,451

• Transurethral resection of bladder tumor (TURBT) — $485

• Transurethral resection of the prostate (TURP) — $604

• Ureteral cancer surgery — $0

• Urethral cancer surgery — ≈ $604

• Vacuum-assisted breast biopsy — ≈ $880