Adding value

Doing money videos as part of my How to get it done. A question comes up about adding value in my job as a doctor to my patients….or whatever the job or situation. You give example…someone asking for 300000 but should give 500000 in value. How does one add value to like that without working as hard? Then why not ask for 500000??? I assume the goal doesnt necessarily mean work harder. Can you give me an example of NOT working as hard but able to guve value. Thanks SG