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Is There a Hearing Aid Price Bubble?

An anonymous reader writes "The price of a pair of hearing aids in the U.S. ranges from $3,000 to $8,000. To the average American household, this is equivalent to 2-3 months of income! While the price itself seems exorbitant, what is even more grotesque is its continuous pace of growth: in the last decade the price of an average Behind the Ear hearing aid has more than doubled. To the present day, price points are not receding — even though most of its digital components have become increasingly commoditized. Is this a hearing aid price bubble?"

25 of 698 comments (clear)

  1. Hmmm. by msauve · · Score: 4, Funny

    Someone's parents are getting older.

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    1. Re:Hmmm. by jasno · · Score: 4, Informative

      65? I'm around half that and I'm about ready for a hearing aid. A friend of mine who works on his house more than me needed one about the same age.

      Kids, protect your hearing. It sucks to lose the ability to hear people in a crowded room. Especially you crazy maker-types running to the saw to make a few cuts. Get some foam earmuffs, the kind used for shooting, and put them next to the saw. Use em *every* time.

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    2. Re:Hmmm. by Surt · · Score: 4, Insightful

      Even babies are getting older these days.

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    3. Re:Hmmm. by fluffy99 · · Score: 4, Informative

      Yes, it's funny to hear people tell you to watch loud power tools and music until... your hearing is 1/2 gone!

      Just curious, the doc says hearing aids only amplify the volume of sounds. I'm only deficient in hearing in a certain small range but it makes talking to certain people (usually women and kids) a chore. Isn't there _something_ that can shift the pitch of a certain frequency into another frequency so I can hear it without amplification?

      The more expensive hearing aids have an equalizer which can be tuned. That way, you only amplify the frequency ranges you need. Frequency shifting would be much more complex and really not necessary.

    4. Re:Hmmm. by nbauman · · Score: 5, Informative

      The summary wasn't quite accurate. $3000 to $8000 a pair is supposed to be the traditional price.

      This story is actually a product marketing newsletter for the company that sells Audicus hearing aids http://www.audicus.com/category/hearing-aids/ which start from $400 a pair.

      http://www.mdhearingaid.com/acoustitone_max/ starts at $200 per pair.

      The cheapest was http://www.dealextreme.com/p/axon-hearing-aid-v163-4326 Axon Hearing Aid (V163) for about $27 a pair, but they don't seem to adjust to the frequency of the patient's loss.

    5. Re:Hmmm. by Jah-Wren+Ryel · · Score: 4, Funny

      I'm only deficient in hearing in a certain small range but it makes talking to certain people (usually women and kids) a chore.

      Don't worry, the older you get the more you'll think that's actually a benefit.

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  2. Re:Since no one ever buys them... by Anonymous+Codger · · Score: 4, Informative

    You, sir or madam, are ignorant. Most insurance plans don't cover hearing aids. And try to get one of these digital hearing aids through the gummint. Ain't gonna happen.

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  3. My mom's husband has hearing aid troubles by PCM2 · · Score: 4, Interesting

    I remember my mom and her husband went on vacation and had some trouble with his hearing aid. Basically, he plugged it in to recharge it and the charger burnt out; it could only handle U.S. voltages. The couple staying in the room next door saw the blackened charger sitting in front of their door and asked what had happened. They found the whole thing very strange. They were European, and their hearing aid charger could adapt to any global voltage, and they had never heard of one that worked otherwise. If I remember right, the woman's own hearing aid was also significantly higher-tech than my mom's husband's. It was not only smaller, but it fit deep into the ear canal (I'm not talking about a cochlear implant, this was a hearing aid). The important thing here is that my parents, living in the U.S., had neither seen nor heard of either technology. Their doctor had given them a couple of choices for a hearing aid and they chose the better one -- which obviously wasn't as good as what you could pick up in Europe. I don't know what they paid for the hearing aid, but it seems to me like something funny is going on.

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    1. Re:My mom's husband has hearing aid troubles by dcollins · · Score: 5, Insightful

      "... obviously wasn't as good as what you could pick up in Europe. I don't know what they paid for the hearing aid, but it seems to me like something funny is going on."

      I would say that the "something funny" is just raw American ignorance. There's lots of higher-tech products and infrastructure in other countries. But we're brainwashed to believe that it's not, by definition, possible for America to be behind the curve. In many ways.

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    2. Re:My mom's husband has hearing aid troubles by AchilleTalon · · Score: 4, Insightful
      You cannot compare hearing aids only on the basis of the size and cutenest factor. The main point is your mom's husband may have a greater hearing loss than the European woman. The small device entering deep in the ear canal are suitable for those not having a too severe hearing loss condition. I know, I did own one and since my hearing loss is progressive it eventually needs to be replaced by a behind the ear device with much more amplification power. So, avoid this kind of comparisons. You must compare devices of a kind with devices of the same kind. They are targetted at different audiences.

      Here, we have coverage for hearing aids from the government. However, there is restrictions on the make, models and types of hearing aids we can pick from. There is a list reviewed every two years or so. Usually, the government make a deal with few manufacturers after asking them to answer to a public RFP (Request for proposals). They set guidelines and the manufacturers must bid as well on a 6 years maintenance plan for their own devices. Those with the lowest prices meeting the requirements for each category win. The drawbacks of this approach is the devices are always end-of-line models. If you want to pick one not on the list, you have to pay it in full. This permit most individuals with hearing loss to have access to hearing aids devices at the price of having access to low-end models only.

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  4. Re:Since no one ever buys them... by Cyclopedian · · Score: 5, Informative

    Most insurance plans do not cover purchases of hearing aids.

  5. Of course they're overpriced. by techno-vampire · · Score: 4, Interesting

    I wear hearing aids in both ears, as a souvenir of my time in the Navy back in '72. If my hearing loss weren't service connected I'd have had to buy my own, and there's no way I could possibly have afforded them. As it is, I got them from the VA (The biggest buyer of hearing aids in the USA.) for free. Hearing aids are overpriced because it's a seller's market and health insurance companies are willing to shell out whatever the manufacturer asks. And, of course, if your insurance doesn't cover them, you're stuck with two unpleasant choices: either you pay full retail price or you do without.

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    1. Re:Of course they're overpriced. by garcia · · Score: 5, Interesting

      It's like this for everything. We had a baby 1.5 years ago. He wouldn't breastfeed so my wife rented a hospital grade pump to do the hard work.

      Our insurance didn't cover it 100% because it wasn't "medically necessary" (they'd rather you use formula) and it would have been around $125/month out of pocket for us.

      We told the medical equipment company we didn't have insurance and suddenly the price was just under $60/month. What does that mean? They overcharge the insurance companies by at least 3x what their actual costs are because they can.

      Our insurance companies aren't exactly the problem. It's the companies that the insurance companies pay. They're robbing us all blind.

    2. Re:Of course they're overpriced. by Bacon+Bits · · Score: 4, Funny

      They're robbing us all blind.

      And, apparently, robbing some of us deaf.

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  6. Re:$3k is 2 months income? by PCM2 · · Score: 5, Insightful

    I'm sure the average American household is well above that.

    They may be counting single-occupancy dwellings as "households," but the important part is, probably a great many of the people who require hearing aids are either already on fixed income or are close to retirement.

    And if there is a price bubble, the Chinese will be right there to correct it.

    TFA claims the ones we're paying $2,000 for are already being manufactured in China for $100. The problem is that a hearing aid is technically a durable medical device. Many people prefer to consult with a professional to get the right model, correct fit, etc., and some states actually forbid hearing aids being sold by mail or by anyone other than a licensed professional. So that kinda puts a damper on the grey market for many people.

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  7. a little fishy by antant007 · · Score: 4, Insightful

    An article on how expensive hearing aids are from a hearing aid company that advertises their low costs.

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  8. Re:Since no one ever buys them... by joocemann · · Score: 4, Insightful

    Capitalism at its finest.... people have needs... you have answers.... gouge em till they stop asking! Or gouge their insurance and drive rates up for everyone.

    CAPITALISM DOES NOT BELONG IN MEDICINE. SINGLE PAYER, NON PROFIT. DO IT.

  9. Re:Yeah, but who's buying? by joocemann · · Score: 5, Informative

    No. Healthcare costs are where they are because the CAPITALISM factor is involved.

    With Single Payer Non-Profit, you can expect a 40-50% decrease in total cost to insure. Modeling after Canada's cost/person, a reduction from $1.5TR/250M-people to $1TR/300M-people is possible. That means the 250 million that pay for insurance are paying 1.5 TRILLION a year for shoddy, exclusion rich, insurance when the sum of all Americans, 300 million people, would be paying 1 TRILLION to cover everyone without any exclusions or b.s. trickery.

    I've talked to over 40 canadians about how they feel about their single-payer system and NOT A SINGLE ONE agreed with the US-paid-pundits that lie about how canadian's don't like their healthcare. Matter of fact, more than 25% of them laughed when I first asked, knowing that I had been exposed to the US-paid-pundits and required truthful answers.

  10. Trouble With Social Security?!? by xquercus · · Score: 5, Insightful

    This is one of the biggest reasons why social security is in trouble.

    This is so wrong! You have bought into the shell game and misdirection that so many politicians have been leading. The Social Security trust fund holds over $2.5 trillion. Most of this has been lent to other under funded government projects. That's the problem. We don't want to pay back the the money we borrowed from the Social Security system and instead say the system is broken. It isn't. The systems is fully self funded. We've just been treating the huge Social Security surpluses as a giant piggy bank for so long that we find it easier to say Social Security is broken than pay back the money we stole!

  11. Re:$3k is 2 months income? by PCM2 · · Score: 4, Interesting

    well you pay for the medical professional's advice and consultation outside the already incredible price for the hearing aid, so charging $2000 for a $100 device is really just an incredible abuse of power. This is why for profit medicare sucks.

    It may be an abuse of power, but I don't know that it's the doctor who's the abuser. Doctors are probably forced to buy everything through "the approved channels" -- they can't just fly someone to China and come back with a suitcase full of $100 hearing aids, and they're probably not even allowed to distribute literature to patients about shopping for a grey market hearing aid on their own. So if a patient has to go to a U.S. doctor, then the patient has to pay the U.S. price.

    It is funny, though. My parents, who are fairly Republican and were vehemently against "Obamacare," are already driving to Mexico to fill their prescriptions, where they cost something like 70 percent less. For some reason, my parents cannot see the doublethink of voting against healthcare reform despite the position they find themselves in. I think it's just the paralysis of fixed income -- you're so desperate to protect what you have right now that you will resist any change -- even though, deep down, you can feel the vice tightening around you.

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  12. That's nothing by Fished · · Score: 5, Interesting

    I have a bill here from LabCorp. Price before insurance: $327.60 (for some routine bloodwork.) Price after insurance "adjustments": $14.88. So it's not just that they overcharge, it's that they deliberately overcharge the uninsured who have no idea what anything should cost.

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  13. Re:Yeah, but who's buying? by TheTyrannyOfForcedRe · · Score: 4, Informative

    In big cities it's not uncommon to wait 4-6 hours for an emergency consult, unless you roll in on an ambulance with a severed limb...

    We have that in the US too. My medium sized city has a few of the best hospitals in country. Unless you're bleeding severely, giving birth, or having a heart attack you can count on a multi-hour wait at the emergency room. The only different thing from Canada is that patients get to walk out with fat bill. Something minor runs hundreds. Something major costs thousands.

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  14. Re:Since no one ever buys them... by trout007 · · Score: 5, Insightful

    Hearing aids are regulated by the FDA which is why it costs $5k or so in paperwork.

    Here is capitalism. It looks like a hearing aid but it is really a sound amplifier so it is not regulated by the FDA. It costs $70.
    http://www.amazon.com/Voxom-Hearing-Aid-Sound-Amplifier/dp/B005AM7S3K/ref=sr_1_9?ie=UTF8&qid=1315622221&sr=8-9

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  15. Markup is pretty impressive on these things. by wangmaster · · Score: 4, Informative

    I used to work for a hearing aid company in IT.
    The most expensive programmable digital hearing aid with all the options topped out at around $1200. That's the cost to the hearing care professional. So yeah, that hearing aid would turn around and sell for at least 3 to 4 times that.

    Also, the company had an extended warranty that we sold to the hearing care professional. Most of them don't turn around and sell that to the customer. Instead, they pay for it themselves and then when a customer brings a hearing aid back they sent it to us for free to fix and they charged the customer for it. It seemed like quite a nice racket. Especially when you consider they also charge for the hearing checkup, fitting, and all of that other usual crap above and beyond what the hearing aid itself cost.

    I'm not sure what the rest of the medical device industry looks like, but it wouldn't surprise me if it was fairly similar. I know the markup on my glasses frames is pretty crazy.

  16. Re: "general unchecked avarice" by ArsonSmith · · Score: 4, Insightful

    isn't wanting something cheaper just as greedy as wanting something more expensive?

    If I demand a $5 hearing aid how is that less greedy than charging $5k? Value is set by the individuals on both sides of a transaction.

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