Troponin (heart test) at Mark Twain Medical Center. CPT 84484.

What Mark Twain Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$20.21cash price (self-pay)

$173list price

$12.15–$310range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|All Plans	$12.15
California Health & Wellness \| Medicaid\|All Plans	$12.15
Health Net \| Medicaid\|All Plans	$12.15
Health Plan of San Joaquin \| Medicaid\|All Plans	$12.15
Kaiser \| Medicaid\|All Plans	$12.15
Aetna \| Medicare\|All Plans	$12.47
BCBS - Anthem \| Medicare\|All Plans	$12.47
Blue Shield CA \| Medicare\|All Plans	$12.47
Care 1st \| Medicare\|All Plans	$12.47
Health Net \| Medicare\|All Plans	$12.47
Humana \| Medicare\|All Plans	$12.47
Kaiser \| Medicare\|All Plans	$12.47
Scan Health Plan \| Medicare\|All Plans	$12.47
United \| Medicare\|All Plans	$12.47
BCBS - Anthem \| Commercial\|Exchange	$106
United \| Commercial\|Select	$118
Blue Shield CA \| Commercial\|Exchange	$125
Blue Shield CA \| Commercial\|HMO	$125
Blue Shield CA \| Commercial\|PPO	$125
First Health \| Commercial\|All Plans	$130
United \| Commercial\|Choice	$135
BCBS - Anthem \| Commercial\|All Other Plans	$136
Health Net \| Commercial\|All Plans	$139
Aetna \| Commercial\|All Other Plans	$141
Aetna \| Commercial\|HMO	$141
Aetna \| Commercial\|PPO	$141
Kaiser \| Commercial\|All Plans	$147
Cigna \| Commercial\|All Other Plans	$155
Cigna \| Commercial\|PPO	$155
United \| Commercial\|HMO	$159

$20.21cash price (self-pay)

$173list price

$16.43–$310range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Commercial\|Exchange	$93.75
United \| Commercial\|Select	$101
Blue Shield CA \| Commercial\|Exchange	$111
Blue Shield CA \| Commercial\|HMO	$111
Blue Shield CA \| Commercial\|PPO	$111
United \| Commercial\|Choice	$116
BCBS - Anthem \| Commercial\|All Other Plans	$120
Health Net \| Commercial\|All Plans	$129
First Health \| Commercial\|All Plans	$130
United \| Commercial\|HMO	$136
Aetna \| Commercial\|All Other Plans	$141
Aetna \| Commercial\|HMO	$141
Aetna \| Commercial\|PPO	$141
Kaiser \| Commercial\|All Plans	$147
Cigna \| Commercial\|All Other Plans	$155
Cigna \| Commercial\|PPO	$155
Multiplan \| Commercial\|All Plans	$170

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