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HearingGearGuide

Comparing over the counter and prescription cost

Quick answer

Compare the two routes over a service life rather than at the till. The prices are yours to enter, because there is no published average and any figure printed as one would be invented. What a prescription price usually includes that an OTC price does not is the evaluation, the fitting and the follow up.

OTC against prescription cost

Trade convention This answer comes from a convention taught everywhere in the clinic and the trade, and published as a standard by nobody. It is useful, and it is not a standard.

Enter real figures: the price of the device you are looking at, and the quote you have actually been given. This site publishes no national average, because none exists that is worth printing.

Enter values above to see the answer.

Equipment this answer points to

Mid-range OTC hearing aids
EarCentric EasyCharge
Ear Centric

EarCentric EasyCharge

$159.00

FDA regulated OTC hearing aid

Published specs

A rechargeable pair sold with a desktop charging station, from a brand that has been in the direct to consumer hearing market since before the OTC rule.

Best for: A first pair for someone who wants a charging dock rather than handling batteries.

Check price on Amazon
Mid-range OTC hearing aids
Ceretone Horizon
Ceretone

Ceretone Horizon

$226.99

FDA regulated OTC hearing aid

Published specs

A dual microphone receiver in canal device at the bottom of the mid range, a form usually found several hundred dollars higher.

Best for: A buyer who wants the receiver in canal form without the premium price.

Check price on Amazon

Common questions

Why does this tool not give me an average price?
Because there is no published figure worth quoting. Prescription pricing varies enormously by provider, by region, by whether it is bundled or unbundled, and by what level of follow up is included. A national average printed on a page would be invented precision, and this site returns nothing rather than a number it cannot stand behind.
What does bundled pricing mean?
A bundled price includes the devices plus the evaluation, the fitting, the programming and a period of follow up appointments in one figure. An unbundled price separates them, so the device looks cheaper and each visit is charged. Neither is better in itself, but comparing a bundled quote against an unbundled one without noticing is how people end up surprised.
Is the cheaper route always the right one?
No, and cost is the wrong place to start. If an evaluation shows severe or profound loss, loss in one ear only, or anything needing medical attention, the prescription route is not a preference but the only appropriate one, and over the counter devices are not labelled for any of it. Establish which routes are open to you before comparing prices.
What is included in an over the counter price?
Usually the hardware and a self-fitting app, and that is all. Some premium over the counter devices are sold as a package with remote audiology support included, which is much closer to what a prescription price covers and is priced accordingly. Confirm what level of support is included before ordering, because that is most of the difference.
How long do hearing aids last?
Commonly quoted as around five years, which is the default in this tool, but it is a rule of thumb rather than a specification and real service life varies widely with care, with moisture exposure and with earwax. Drying a device overnight and changing its wax guards is the single biggest thing within anyone control.

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