Hearing Aid Users are starting to accept Behind-The-Ear Models, at a greater rate than ever before.

The Manufacturers are all excited about this because of the tremendous Cost Savings.

The Products being sold, are massed produced, usually in 3rd World Countries, like Vietnam.

The Labor rate there is about 25 cents per hour in American Currency.

The Behind-The-Ear Model, is conducive to be mass produced on a production line basis.

The Cost of the Product has become the least expensive components of bringing the Product to Market.

The Marketing,Administrative,and Sales Costs, by far exceed the Manufacuring Costs.

Custom made Products are more expensive to manufacture.

Each Custom Made Hearing Aid is Hand-Made. One Aid at a time, by an Assembly Employee.

There may be at least 6 different Employees engaged in the Manufacture of each Hearing Aid.

These Custom-Made Products are all manufactured in the United States at much higher labor rates of up to $30 per hour (including benefits) per Employee.

Do the Math.

The only problem I see, and predict, is that as the Non-Custom Product takes over the Industry, such a Product will be sold over the counter in any Drug Store or Mass Merchandiser, such as BESTBUY.

Who needs a Dispenser.

Just buy an Aid, with a Remote Control, with 20 Different Programs, and a volume control feature, and surprise,surprise, you don't need a Hearing Aid Dispenser.

We'll see what happens.

Alsip Magistrate

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Anyone purchasing hearing aids at a price club is both cheap and foolish. And there's no fool like a cheap fool.

Every area has reputable dispensers and audiologists.

Don't screw around with something as important as this. Go to a professional, not a retail appliance salesman.


I recently had 2 patients with brand name hearing aids that were purchased at Costco. They were bought in another state and these people were passing through and needed adjustments.

I couldn't adjust the hearing aids even though I had an account with the hearing aid manufacturer.

They said the hearing aids bought at Costco require a certain software that I can't get. So, beware of paying less...it may come back to *** you.

to Dispenser Tulsa, Oklahoma, United States #932190

costco will not service or repair the hearing aids if you were not the purchaser like buying a pair of slightly used rexton aids online from e-bay-- since they,er dedicated costco hearing aids

no one else can repair them


Hearing aids cost a lot for several reasons. First, people don't want them....supply and demand.

It's as simple as that. Also, the research and development of technology as well as into how the ear processes sound is great. There is overpriced hearing aids out there....but most of us are reasonable considering what we pay. The markup is surprisingly low considering the time involved (most have one price and people return when needed at no extra cost).

I know I treat my patients well and that's why they keep coming back. I will do everything I can to adjust the hearing aids to the best of their ability.

So, it would behoove anyone out there who thinks they know about hearing aids to do a bit of research. It's not as simple as it sounds.


I purchased a set of Burnafon HA, a Swiss co, from Costco. I was very pleased with the service. However, after 3 weeks the left one got intermittent and I took it back. They sent it to the factory, which said that there was corrosion. Since I used the dryer every night, I think that this is a problem. So I took them back and ordered a set of ReSound Future, which I believe is the same as the Alera 9.

There is a world of difference in these two company's HAs. The ReSound is so much more like my "Past Hearing" that they seem not even to be there. I find them comfortable, and adjustable with an extra control. They even have Blue-tooth to my phone, for an extra priced control device.

Overall, I like them so far, now time will tell with getting them completely adjusted with 4 programs.

Service at Costco was very good. 2 of the folks are former Miracle Ear audiologists.


Ok listen up people. To dispense hearing aids you need a state license. You must pass the exam regardless if your an Audiologist or a Specialist.

An Audiologist is qualified to have a much broad scope of practive vs a Specialist. If you hold a license to dispense hearing aids you are qualified regardless of whatever else you can do.

By far the hearing aids cost a lot! It is not research and development. It is simple overhead of an office dedicated to fitting hearing aids. Simple as that.

Costco has found a way to reduce that overhead cost. They can offer a system for $2599.98 (2 top line hearing aids) that sell in a dedicated office for $6,000.00. That is a fact, and the main reason that Costco is the second largest dispensder of hearing aids in the US. Just behind the VA that gives them away.


Are two HA always necessary? One Audi says it prevents further loss in the better ear, another says it is required because of a lawsuit in Mass that proved the sound direction improvement with two HA.


To CSM: Thanks, as a long time wearer, I fully appreciate the huge jumps in tech that have made HA's what they are today. No longer getting strange looks because I answered the question I "thought" was asked, hearing my soft-spoken and truly lovable grandson talk, hearing a quail call, all things that were lost as my hearing slowly faded, one can't put a price on those.

BTE's permit those of us with moderately severe to severe loss adjustment not possible with ITE models, simply because there's more space for the electronics. If you don't have a good, caring Audi, FIND ONE, you'll never regret it, the HA does the work, but the Audi gets the most out of it for you.


You are incorrect on just about every point. As the person above mentioned, most valid hearing aids are developed and built in the US or scandanavia.

Hearing aids are extremly sophisticated computers.

You may have gotten lucky with your technique, and that's good for you, but it's irresponsible and wrong to advise the public on something you don't understand.

Audiologists (AuD) must go to school for 8 years total for a degree, pass many certification exams, and then continue to educate themselves (and be tested) for at least 10 hours of classes a year after obtaining certification.

Audiology programs are no joke. They are tough to get in to and are a lot of work. And a good program will stress ethics


Has anyone used a Starkey, if so how was your experience and do you still use it.



These new aids are obviously based on integrated chips. This means that they can be mass produced by a specialty chip maker company like Texas Instruments by the millions for just $50 bucks each.

The other parts are going to be very easy to fit. The cost will eventually, therefore, come down to a fixed low commodity price.

Once the commodity gets down to where it does not really cost anything in real dollars, the audiologist and licensed hearing aid dealers will have to make money offering service. That will be a challenge as I don't know that the market has enough profit to sustain them.


CSM is the one who is uninformed about hearing aids. Many including Siemens, ReSound etc. are indeed made in mainland China and they are very cheap there.


Costco announced in its magazine this month that it has opened hearing aid clinics and sales in its Costco stores/warehouses across the country. However, I called Costco about it and no one there knew anything about hearing aids. Thus it looks like Costco in Indianapolis doesn't sell them, at least not yet.


Here's a more affordable option for those concerned about the cost of hearing aids.


you can get a hearing aid recommendation here.

to DenverCO Tukwila, Washington, United States #684493

advertising site.

avoid it.

elijah lovejoy, ph.d


The bulk of the cost of a hearing aid is from the research and development of such components and options as directonal mics, feedback cancellation, phase cancellation, etc. It costs $X to bring a HA to marked and once it is brought to market, the mfg calculates how many of those aids it will sell and prices them so that they get their money back plus profit.

Profit is NOT a bad thing. What about the milk you buy, or the bread, or golf balls, or name-brand purses. $800 for a PURSE???? Give me a break!

There is profit in all things. I fit top of the line aids from the largest HA mfg and my top cost is $2400. The 'entry level aids start at $1200.

Doing your research re: the various dispensers in your area can save you a lot of headaches. Friends and family can be the best resource for your information and who is good and who is not.


I guess you get what you pay for. Remember this famous quote: "There is hardly anything in the world that some man cannot make a little worse and sell a little cheaper (including hearing aids & quality of service/follow up care), and the people who consider price only are this man's lawful prey."

-- John Ruskin (1819 - 1900)


You got served a heapin' dose of information!


Another funny thing the industry foist upon us. Natural sounding lol hahaha make me laugh some more.

I am severe/profound what the heck is natural?? I bet i have never heard a "natural" sound in my life. They equate using a hearing aid like it is the holy grail the be all to end all that will make us equal to you???

My ;hearing works that all il care i have no clue what natural is? Nor am i interested in finding out.

Szekesfehervar, Fejer, Hungary #22826

The writer is seriously uninformed. 90% of all hearing aids sold n the world are manufactured and assembled in America, Switzerland, Germany, Denmark, and the Netherlands. Some manufacturers have production in Singapore. None have production (yet) in China, Korea, or other far east locations.

Hearing aids have some serious microelectronics that require more skill than the average Vietnamese textile worker.

It is true that behind-the-ear models can be produced in an assembly line process, but please don't think this means a sweatshop in the jungle. Clean rooms, similar to those used in other electronics manufacture, are necessary for a good part of the manufacturing process.

The popularity of behind the ear models has been consumer driven, not manufacturer driven. The new smaller BTE is able to hold more microphones and circuitry than their in-the-ear counter part. Also, the smaller eartip doesn't block the ear canal. As a result, more natural sounds flows into the ear and the hearing aid is able to amplify the deficient (and only the deficient) frequenices. This sounds more natural to the user and is more comfortable.

Until we have hearing aids that can map themselves to your hearing needs you will need a hearing aid dispenser or audiologist. It's not a simple as adjusting your television volume or setting the speaker levels in your home theater. There are many hearing aids sitting in dresser drawers for want of a good audiologist or dispenser - not just a salesman.

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