Your costs
Fees and short-pays withheld from insurer or benefit payments.
Share of fittings returned inside the trial window.
Restocking fee, unrecovered credit or refurbish cost as a share of device cost.
Clinician time on a fitting that does not stick.
Sales commission or bonus paid on the sale.
Employer taxes, malpractice cover, paid breaks.
Rent, utilities, base staffing, software, insurance, marketing. Not owner pay.
After devices, returns, fees, commission and clinician time.
Your sale types
One row per kind of sale, such as a premium pair or a single device on a benefit. Enter the device cost you pay, not the retail price, for the whole sale (both ears for a pair). Fitting minutes are for the first fitting; follow-up visits are set above. Use 0 for plan pays on a private-pay sale. Leave a row empty to skip it.
| Sale type | Patient pays $ | Plan pays $ | Device cost $ | Accessories $ | Fitting min | Sales/mo |
|---|---|---|---|---|---|---|
Result
Questions people ask
What is a good margin on hearing aids?
Hearing aids carry a high gross markup, but the gross number hides the cost of the service wrapped around the device: the fitting, the follow-up visits included in the price, trial-period returns and commission. This tool subtracts the device and accessories, a return allowance, card and plan fees, commission and the clinician's fitting and follow-up time, then shows what each kind of sale really earns so you can see where the margin is made.
How do trial-period returns affect profit?
Most states require a trial window after a hearing aid sale. A return refunds the patient, but the clinic still lost the fitting time and some device value to restocking or refurbishing. Enter the share of fittings that come back, the share of device cost you lose on each, and the minutes wasted. The tool spreads that expected cost over every kept sale, and the scenario table shows what five more points of returns would cost in a month.
Does bundled pricing earn more than unbundled pricing?
Bundled pricing includes follow-up care in one price, so every extra visit comes out of the same margin. Enter the number of included visits and the minutes each takes to see how much clinician time a bundle really consumes, and compare profit per clinician-hour across your tiers. Unbundled models can be tested by lowering the included visits and pricing them separately.
How is over-the-counter competition modelled?
Over-the-counter hearing aids put pressure on the entry price of private-pay sales. The scenario table cuts every private-pay price by 15 percent while leaving insurer and benefit payments alone, and shows the monthly profit change on your own mix. It is a stress test on your numbers, not a forecast.
Not decided
What your market will pay, how to price against over-the-counter devices, your state's licensing, trial-period and refund rules, manufacturer terms, insurance and billing compliance, clinical standards of care, equipment and financing, and how to treat any of this for tax or accounting. Take costs from invoices, take plan payments from your remittances, and talk to your accountant about the books.
Related tools: the appointment no-show cost calculator, the card processing fee audit the dental PPO write-off calculator and the optical dispensary margin calculator.