Updated September 2026 with current dealer quotes and fitting practice. Prices vary with the rupee; confirm before buying.
A hearing aid for severe hearing loss in Pakistan has to be a super-power behind-the-ear device, which costs roughly PKR 80,000 to PKR 350,000 per ear, and any CIC, IIC or small in-ear style will simply not give the gain a severe loss needs, regardless of how good the brand is. If your audiogram shows thresholds of 71 to 90 dB (severe) or beyond 90 dB (profound), the buying conversation is not about style; the buying conversation is about maximum gain, stability, and a professional fitting path. This guide covers which models actually deliver, what else people wrongly buy at this level, and when an ENT referral comes before any hearing aid purchase.
Who genuinely needs a super-power BTE
Three signals point to the power tier:
- Your audiogram reads severe or profound thresholds on the scale above. Not "I hear but cannot follow" alone, which might be moderate.
- You have tried or been told about standard hearing aids and they did not help, a common story for severe-loss first-timers in Pakistan fitted with a device that was never strong enough.
- You were asked to lip-read by family because speech was genuinely unclear even at close range.
If any of these is you, do not buy on style. Get a proper test first, since an accurate audiogram is the input everything else depends on. What actually happens in a clinic is covered in our hearing test guide.
The power models available in Pakistan
| Model | Type | Price per ear (PKR) | Who it suits |
|---|---|---|---|
| Oticon XCEED 3 UP | Super-power BTE | 200,000 – 350,000 | Top power plus best speech processing |
| Rexton TARGA HP 5 / P 5 | Super-power BTE | 60,000 – 130,000 | Strong gain at a value price |
| Rexton BiCore B HP 10 | Super-power rechargeable BTE | 120,000 – 190,000 | Bluetooth plus power, lithium cell |
| Rexton INOX CIC 5 | High-power CIC | 45,000 – 90,000 | Severe-moderate to moderate-severe wanting discretion |
| Signia PROMPT SP | Super-power BTE | 55,000 – 75,000 | Entry power tier, ex-Siemens line |
All prices per device (per ear). Two ears roughly double the figure. Power-tier BTEs use larger 675 batteries, which last 10 to 14 days per cell, priced in our battery price guide.
Note the honest spread within Rexton alone: the TARGA HP 5 at the bottom is a genuine power aid with no Bluetooth, while BiCore B HP 10 sits above with a rechargeable cell and streaming. If budget is a hard wall, the TARGA tier is real gain for less money, and all three sit in a language of German hardware rather than copy boards.
Why CIC fails at severe loss
Three technical walls stop a small in-ear aid at this level of loss:
- Not enough room for a large receiver. Maximum gain needs a stronger output component, which does not fit inside a canal-sized shell.
- Feedback ceiling. At high gain, sound leaks back to the microphone and whistles. Larger BTE housing with a good ear-mold controls this; small shells cannot.
- No manual headroom. As your loss worsens over years, a power BTE has gain in reserve to adjust to; a CIC maxed out at fitting has none.
That is why the marketing pitch of "invisible but powerful" is untrue below severe loss, and the full form-factor comparison is covered in our invisible CIC/IIC guide. Invisible is for mild and moderate loss, and nowhere else.
What people wrongly buy at severe loss
Three traps sit just outside this page: cheap amplifiers sold as "hearing machines", mid-tier devices fitted by dealers who bet on their tuning skill instead of real power, and copy boards branded with famous names. All three produce the same complaint within weeks: "I hear sound but cannot understand speech". The amplifier trap and the honest disadvantages of wearing it are in our honest guide, and the copy-versus-genuine dealer argument is documented in the Daraz, OLX vs dealer comparison.
When you need an ENT first, not a hearing aid
Some severe loss is correctable or needs medical work before amplification, and it is worth asking three questions before you buy:
- Was the loss sudden, over days or hours? See an ENT within days, not weeks.
- Is there discharge, pain, or a history of ear surgery? Medical assessment first.
- Is the loss one-sided at the same recent onset? Needs investigation, not just a hearing aid.
A hearing test and an ENT referral go hand in hand for severe and cases with these red flags; our complete guide to hearing aids in Pakistan covers the booking and the doctor question briefly for anyone starting from zero.
What to arrange after purchase
Severe-loss fittings need three ongoing things:
- Binaural fittings where possible, since the brain uses both ears to locate speech in noise.
- A written warranty with named in-country service points; the process is documented in our repair and service guide.
- A follow-up appointment at two weeks and one month, since initial fits usually need adjustment after the brain has re-tuned.
For live stock, fitting planning or a written quote on any power model, browse samaat.pk with free nationwide delivery, or send your audiogram to WhatsApp and we will confirm which tier fits your hearing, not merely which model we want to sell.
Frequently Asked Questions
What is the price of a hearing aid for severe hearing loss in Pakistan?
PKR 80,000 to 350,000 per ear for genuine super-power BTE devices in 2026. The value tier is Rexton TARGA HP at PKR 60,000 to 130,000, mid-power rechargeable BiCore B HP around PKR 120,000 to 190,000, and the top tier Oticon XCEED 3 UP at PKR 200,000 to 350,000.
Can a CIC hearing aid help severe hearing loss?
Usually not genuinely. A CIC does not have the room for a strong enough receiver or the feedback control needed at severe thresholds. It is the right choice for mild to moderate loss, where discretion matters, and the wrong choice for severe loss where gain matters.
Which brand is best for severe hearing loss?
Oticon XCEED 3 UP for top-of-market processing, Rexton TARGA HP and BiCore B HP for value in the same power class, and Signia PROMPT SP for entry tier. At this level the fitting professional and accurate audiogram matter as much as the brand.
Do I need one hearing aid or two for severe loss?
Two, when the loss is bilateral, because the brain uses input from both ears to separate speech from noise. One power aid on the better ear is a practical compromise if budget genuinely limits you, but two are better if you can stretch.
Should I see an ENT doctor before buying?
Yes, in three cases: sudden hearing loss, any discharge or pain, or recent one-sided loss. These can have medical causes that need treatment first. Otherwise a proper audiogram from a clinic is the first step, covered in our hearing test guide.
How long do power hearing aids last?
Five to seven years of daily use with dry storage, since the same board-level designs power the whole range. The super-power BTE housing is easier to dry and maintain than a small in-ear shell, which is one of its unadvertised advantages at humid Pakistani summers.
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