| Colonoscopy diagnostic | CPT | 45378 | 11 | $268.05 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | $319.37 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | $360.71 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | $375.53 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 11 | $123.44 |
| Total hip replacement | CPT | 27130 | 11 | $946.57 |
| Total knee replacement | CPT | 27447 | 11 | $946.18 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | $214.9 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | $274.3 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | $318.54 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | $111.99 |
| CABG single arterial graft | CPT | 33533 | 11 | $1,318.39 |
| CABG 2 arterial grafts | CPT | 33534 | 11 | $1,550.16 |
| CABG 3 arterial grafts | CPT | 33535 | 11 | $1,728.18 |
| CABG 4+ arterial grafts | CPT | 33536 | 11 | $1,855.25 |
| Total shoulder arthroplasty | CPT | 23472 | 11 | $1,017.53 |
| Hip hemiarthroplasty | CPT | 27125 | 11 | $787.94 |
| Knee revision arthroplasty single component | CPT | 27486 | 11 | $981.19 |
| Knee revision arthroplasty all components | CPT | 27487 | 11 | $1,228.14 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | $746.72 |
| ACL reconstruction | CPT | 29888 | 11 | $687.39 |
| Open appendectomy | CPT | 44950 | 11 | $443.5 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | $414.09 |
| Laparoscopic cholecystectomy | CPT | 47562 | 11 | $453.49 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | $492.77 |
| Open umbilical hernia repair | CPT | 49560 | 11 | $508.66 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 11 | $305.91 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | $294.95 |
| Lap incisional hernia repair | CPT | 49652 | 11 | $487.43 |
| Total abdominal hysterectomy | CPT | 58150 | 11 | $711.2 |