The University of Maryland Hearing and Balance Center has been helping individuals with tinnitus and hyperacusis since 1991. The goal of the UMMC Tinnitus and Hyperacusis Program is to evaluate, diagnose and treat your tinnitus and/or hyperacusis so that it no longer interferes with daily life activities nor significantly affects your quality of life. 

We offer a multi-stage treatment program designed to provide various stages of treatment depending on your tinnitus severity.

Not everyone needs all three stages to achieve relief from tinnitus, but stages must be conducted in sequential order.

Stage 1

Stage 1 is a 90-minute appointment designed to help you better understand tinnitus and hyperacusis and the reasons these conditions become disruptive. The Stage 1 appointment is indicated for individuals who are having trouble sleeping or concentrating, or who feel depressed or anxious because of their tinnitus. 

This appointment includes education about the neurophysiological model of tinnitus; this model helps to explain the relationship between tinnitus and interference with sleep, concentration and mood. Factors that affect tinnitus and hyperacusis are discussed in detail, as well as strategies that can be implemented immediately to help you achieve relief from your tinnitus and/or hyperacusis. 

Stage 1 is offered monthly as a shared medical appointment with up to 10 patients. All patients attending the appointment must have medical clearance from an otolaryngologist (Ear, Nose and Throat physician) because it is important that a medically-treatable condition has been ruled out prior to provision of non-medical tinnitus treatment. In addition, an audiological evaluation is necessary to provide information about your hearing status. 

Please note that this visit is generally not a covered service and must be paid at the time of service. The fee for this appointment is $150.

Stage 2

Stage 2 is an individual appointment that lasts up to three hours and includes a comprehensive evaluation of your tinnitus and sound tolerance, measurement of otoacoustic emissions (when indicated), and a comprehensive discussion about your test results relative to your tinnitus and/or hyperacusis. Customized treatment options will be discussed and demonstrated (when appropriate). 

Please note that while test procedures are generally covered by insurance, the individual tinnitus consultation with the audiologist is generally not a covered service and must be paid at the time of service. The fee for the individual tinnitus consultation is $200.

Stage 3

Stage 3 is the initiation of acoustic therapy, which can be applied in a variety of ways and includes ear-level sound generators, the Neuromonics Tinnitus Treatment, or hearing aids. The fee for Stage 3 covers the initial orientation and device set-up and one year of follow-up and monitoring to ensure treatment progress and success. Treatment length depends on a number of factors and in some cases, extends beyond 12 months. 

Treatment for tinnitus is considered experimental by many insurance plans (e.g., Medicare, Blue Cross/Blue Shield) and therefore is not a covered service. Fees for stage 3 range from $2,700 to $7,100 and include devices and office visits for a one year period.

Depending upon the type of insurance coverage you have, some components of the program may be non-covered services. If your carrier does not cover some or all of the services, you are responsible for payment at the time of service. All prices are subject to change.

For more information about the Tinnitus and Hyperacusis Program, please e-mail to or call 410-328-5947.