Table 7.

Costs Associated With Screening for Bilateral Hearing Loss in a 5-Year Period

Number of InfantsTotal Cost, $Cost Per Infant, $
Inpatient screening10 372*
 Technician time109 000
 Disposable items59 000
 Reusable equipment11 000
 Total179 000  17
Outpatient testing
 Reusable equipment (second AABR machine)5000
 Behavioral testing of infants not screened 2126400  30
 Follow-up of infants not screened 3954000  10
 Rescreening by AABR  932800  30
 Diagnostic ABR (includes repeated tests) 31037 200 120
 Tympanometry 2904400  15
 Outside referral for DPOAE  151500 100
Administrative audiologist services26 000
Total cost to confirm true bilateral loss  15266 30017 750
  • * — = not applicable.

  • DPOAE, distortion product otoacoustic emissions.

  • The administrative audiologist spends 4 hours each month maintaining the databases and a total of 4 hours each week administering the program; costs are evaluated on a per-hour basis.