| Colonoscopy diagnostic | CPT | 45378 | 2 | $812 |
| Colonoscopy with biopsy | CPT | 45380 | 2 | $969.6 |
| Colonoscopy with polyp removal | CPT | 45385 | 2 | $1,150.4 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | $2,185.6 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 2 | $2,323.2 |
| Total hip replacement | CPT | 27130 | 2 | $4,636 |
| Total knee replacement | CPT | 27447 | 2 | $4,362.4 |
| Vaginal delivery only | CPT | 59409 | 2 | $3,263.6 |
| C-section delivery only | CPT | 59514 | 2 | $2,339.2 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 2 | $1,171.2 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 2 | $849.6 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 2 | $235.2 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 2 | $280.8 |
| Total shoulder arthroplasty | CPT | 23472 | 2 | $3,842.4 |
| Knee revision arthroplasty single component | CPT | 27486 | 2 | $3,544 |
| Knee revision arthroplasty all components | CPT | 27487 | 2 | $4,535.2 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | $2,899.2 |
| ACL reconstruction | CPT | 29888 | 2 | $3,956 |
| Open appendectomy | CPT | 44950 | 2 | $1,203.2 |
| Laparoscopic appendectomy | CPT | 44970 | 2 | $1,073.6 |
| Laparoscopic cholecystectomy | CPT | 47562 | 2 | $1,346.4 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 2 | $1,446.4 |
| Open umbilical hernia repair | CPT | 49560 | 2 | $1,805.6 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | $798.4 |
| Lap inguinal hernia repair | CPT | 49650 | 2 | $1,028.8 |
| Lap incisional hernia repair | CPT | 49652 | 2 | $1,858.4 |
| Total abdominal hysterectomy | CPT | 58150 | 2 | $2,430.4 |
| Vaginal hysterectomy | CPT | 58260 | 2 | $2,039.2 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 2 | $2,192 |
| Lap salpingo-oophorectomy | CPT | 58661 | 2 | $1,618.4 |