| ردیف | عنوان | مدت زمان | هزینه |
| 1 | Nail Excision | 1 day | 6.846.600 |
| 2 | Pilonidal Sinus Excision | 1 days | 28907700 |
| 3 | Closed Treatment of Nasal Fracture | 1day | 14787000 |
| 4 | Open Treatment of Nasal Fracture | 1day | 30007500 |
| 5 | Closed Treatment of Shoulder Dislocation | 1 day | 14403900 |
| 6 | Closed Treatment of Humeral Shaft Fracture | 2-3 days | 14775000 |
| 7 | Open Treatment of Radial and Ulnar Shaft Fracture | 2 days | 58316400 |
| 8 | Closed Treatment of Distal Radial Fracture | 2 days | 12425700 |
| 9 | Amputation of Single Finger (Thumb) and Its Metacarpal | 1 days | 21017700 |
| 10 | Closed Treatment of Femoral Shaft and Distal Femur Fracture | 3 days | 60779400 |
| 11 | Open Treatment of Femoral Shaft Fracture and Intramedullary Nail | 3 days | 89757300 |
| 12 | Closed Treatment of Femoral Shaft and Distal Femur Fracture | 2-3days | 23731500 |
| 13 | Open Treatment of Tibial Shaft Fracture | 3 days | 4930800 |
| 14 | Nasal Septal Repair with Submucosal Resection | 1day | 29010600 |
| 15 | Total or Partial Splenectomy | 2-3 days | 77175600 |
| 16 | Appendectomy | 1-2 days | 47195400 |
| 17 | Hemorrhoidectomy | 1 day | 29934900 |
| 18 | Colecystectomy | 1-2 days | 79102500 |
| 19 | Primary Inguinal Hernia Repair | 1-2 days | 36203100 |
| 20 | Abdominal Hernia Repair | 2 day | 46578300 |
| 21 | Disc Herniation Laminectoy | 2-3 days | 76581900 |
| 22 | Laminectomy, Spinal Stenosis | 2-3 days | 96173400 |
| 23 | Extraction of deep pin | 1-2 days | 19715700 |
| 24 | Closed treatment of radial shaft fracture | 2 days | 15330300 |
| 25 | Bone fixation in femoral fracture | 3 days | 96223500 |
| 26 | Surgical treatment of anal fistula (fistulectomy/fistulotomy) | 2-3 days | 26178000 |
| 27 | Maxillary and Mandibular fracture | 3days | 80000000 |
| 28 | Repair of external ear laseration | 1 dats | 40000000 |
| 29 | Facial soft tissue injury | 1 day | 30000000 |
| 30 | Mammoplasty | 1-2days | 71706000 |
| 31 | Upper extremity amputation | 1-2 days | 40000000 |
| 32 | Craniectomy or craniotomy for evacuation of hematoma | 6-8 days | 115517100 |
| 33 | Repair of corneal and sclera laceration | 2 days | 63369900 |
| 34 | Lower extremity amputation | 1-2 days | 50000000 |