Michael P. Romanowsky Family Medicine
63 Range Road Windham, NH 03087
Medical Procedures
Outpatient Tests and Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Destruction of Lesion (outpatient) | $232 | 0% | $232 | Medium |
Laboratory Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Blood test for blood glucose control (Hemoglobin A1C) | $36 | 0% | $36 | Medium |
| Blood test for clotting time | $15 | 0% | $15 | Medium |
| Blood test for complete blood cell count (hemoglobin) | $24 | 0% | $24 | Medium |
| Blood test for PSA (prostate specific antigen) level | $54 | 0% | $54 | Medium |
| Blood test for TSH (thyroid stimulating hormone) level | $62 | 0% | $62 | Medium |
| Lipid Panel - Cholesterol Test | $49 | 0% | $49 | Medium |
| Urinalysis test automated with microscope examination | $12 | 0% | $12 | Medium |
| Metabolic Panel - Comprehensive | $39 | 0% | $39 | Medium |
| Strep Test (Streptococcus, group A) | $69 | 0% | $69 | Medium |
| Urinalysis test automated without microscope | $6 | 0% | $6 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Basic Office Visit | $111 | 0% | $111 | Medium |
| Office Visit, Established Pt | $184 | 0% | $184 | Medium |
| Office Visit of Moderate Complexity | $272 | 0% | $272 | Medium |
| Office Visit of Moderate to High Complexity | $364 | 0% | $364 | Medium |
| Office Visit, New Pt, Minor | $224 | 0% | $224 | Medium |
| Office Visit, New Pt, Low | $273 | 0% | $273 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $368 | 0% | $368 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $399 | 0% | $399 | Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $401 | 0% | $401 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $462 | 0% | $462 | Medium |