Well, glad to hear that things are headed in a better direction! :-) Greenberg is a convenient place, but I would not recommend it for anything beyond purely simple things. The Bulgarians who recommended Pirogov were right from one perspective - one of the best doctors in the country work there. However, your observation of the place and the way it is run (or not run) are quite correct, unfortunately. In addition, since you are not Bulgarian, you would be paying for examinations and tests no matter where you go (in fact a lot of Bulgarians who either are not "zdravno osigureni" or want a better opinion, would be paying as well). Thus, whether you went to Tokuda or Pirogov, you would have probably paid something that is not largely different. I personally would prefer going to Tokuda, because it is run much better, although I am sure Pirogov has better doctors (although the ones I've met in Tokuda seemed quite good too). However, the facilities, the administration, and the efficiency between the two places cannot be compared (and sadly, Pirogov loses on these points). Even if Tokuda costs more, I'd still go there. Back in 2009, I had some strange health issues, and somehow the people in Tokuda managed to get me to see three different specialists, to get several blood and urine tests, and to have a head MRI, in just two days (and I haven't made an appointment in advance). All for the price of less than $300. I was very impressed by the orderly, efficient, and polite manner of the staff (the majority of which seemed to speak fairly good English) and by how clean the place was (and the fact it was incredibly easy to navigate, given the proper signs that happen to be in both Bulgarian and English). I think this is the reason Tokuda gets recommended to foreigners; not because foreigners can pay more and Tokuda is epxensive. Try picturing a foreigner with a serious health issue, who speaks no Bulgarian and has no Bulgarian friends, trying to navigate a place like Pirogov...