You add them by asking how much each part of the utility function makes you want to do a thing.
As TeMPOraL says, for your specific example you could do that in dollars, but perhaps a more emotionally affective example than USA icons would be asking how many oranges someone would need to offer you to convince you to have a hand amputation without anaesthetic: if you’re well fed, it’s ridiculous to even ask as even a lifetime supply of citrus fruit won’t come close, but if you’re literally starving to death you might well choose to lose a hand to gain anything edible.