HCPCS L8612

Aqueous shunt

Current code19 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L8612 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01—$538 – $8,400$769 – $12,000
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,462 – $4,180$2,088 – $5,972
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$869 – $9567 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,454 – $5,628$2,077 – $8,041
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$2,324 – $9,117$4,470 – $17,532
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,454 – $5,628$2,077 – $8,041
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,386 – $5,377$1,980 – $7,682
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$2,496 – $7,657$4,800 – $14,725
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,386 – $5,377$1,980 – $7,682
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,470 – $4,805$2,100 – $6,865
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$2,324 – $9,117$4,470 – $17,532
Seattle Children's HospitalSeattle—$2,850$2,850
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1,515 – $5,365$3,156 – $11,178
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,515 – $5,365$3,156 – $11,178
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,515 – $5,365$3,156 – $11,178
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,515 – $5,365$3,156 – $11,178
University of Washington Medical CtrSeattleFile dated 2026-04-01—$470 – $3,252$671 – $4,646
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$887 (fee)