Percentage Hearing Loss Calculation and Disability Calculator
Percentage Hearing Loss Calculation and Disability Calculator: You’ve just finished a pure-tone audiogram, and you’re staring at those thresholds wondering, “So how much hearing have I really lost?” Whether you’re an audiologist, ENT specialist, or a patient new to the world of hearing care, translating decibels into a clear percentage can feel like cracking a secret code. Here’s the surprising bit: using standardized formulas, you can turn four frequency thresholds into a reliable hearing loss percentage—no fancy software required. In this post, we’ll walk you through everything from the basics behind Percentage Hearing Loss Calculation to a ready-to-use Hearing Loss Calculator form, step-by-step instructions, and the exact formulas used by professionals. By the end, you’ll confidently determine monaural and binaural hearing loss percentages and know how to apply them in clinical practice or for disability documentation. Let’s dive in.
Percentage Hearing Loss Calculation
Percentage Hearing Loss Calculation translates the average hearing thresholds at key speech frequencies into a single percentage number representing hearing impairment. It’s crucial for:
- Clinical assessment – tracking progression or benefit from amplification
- Disability evaluations – supporting claims for compensation or accommodations
- Research – comparing outcomes across studies using a standardized metric
By distilling multiple data points into a single figure, you and your patients get an at-a-glance understanding of functional hearing ability.
Hearing Loss Calculator
A Hearing Loss Calculator is simply a structured form digital or paper—that guides the user through entering clinic details, patient demographics, and audiometric thresholds. Benefits include:
- Reducing calculation errors
- Standardizing documentation across clinicians and sites
- Streamlining reporting for disability or workplace accommodations
When you’re juggling busy clinics or detailed medico-legal cases, having a calculator you trust is a lifesaver.
How to Calculate Hearing Loss Percentage?
Step-by-Step Guide to use Hearing Loss Calculator
Our free Hearing Loss Calculator is designed to mirror typical clinical forms. Here’s what you’ll fill in:
- Clinic Information: Clinic Name, Clinician Name, Designation (e.g., Audiologist, ENT), Contact Details
- Patient Information: Patient Name, Age, Gender, Mobile Number, Address, Date of Evaluation, Chief Complaint
- Hearing Evaluation Data: Pure-Tone Audiometry thresholds at 500 Hz, 1,000 Hz, 2,000 Hz, and 4,000 Hz for both right and left ears
- Once you have this data click “Calculate Disability Percentage” to see the Hearing Loss Percentage
Hearing Loss Calculation Formula
Monaural Hearing Loss Calculation Formula:
[(500 Hz + 1,000 Hz + 2,000 Hz + 3,000 Hz) ÷ 4 − 25] × 1.5 = % hearing loss for that ear
Explanation:
- We average the four speech-critical thresholds.
- Subtract a 25 dB “threshold fence” (the level below which we consider normal hearing).
- Multiply by 1.5 to scale the adjusted average into a percentage metric clinicians recognize.
Combined (Binaural) Hearing Loss Calculation Formula
When both ears have measurable loss:
- Identify the better ear (lower monaural loss) and worse ear (higher monaural loss).
- Apply:
Combined Loss (%) = ([Better Ear Loss × 5] + Worse Ear Loss) ÷ 6
This formula weights the better ear five times more than the worse ear, reflecting real-world functional hearing that relies more on the stronger side.
How to calculate percentage hearing loss from an Audiogram?
Before calculating of Hearing Loss Percentage from an Audiogram, you must extract the Pure-Tone Averages (PTAs).
Monaural Calculation Steps
Step 1: Compute Average Threshold
Average = (Threshold@500 + Threshold@1,000 + Threshold@2,000 + Threshold@4,000) ÷ 4
Step 2: Subtract Threshold Fence
Adjusted Average = Average − 25 dB
Step 3: Scale to Percentage
Monaural Loss (%) = Adjusted Average × 1.5
Combined Binaural Calculation Steps
If both monaural percentages > 0:
- Better Ear Loss = lower of the two monaural percentages
- Worse Ear Loss = higher of the two monaural percentages
Combined Loss (%) = ([Better Ear Loss × 5] + Worse Ear Loss) ÷ 6
Let’s say your audiogram shows these thresholds:
- Right ear – 500 Hz: 30 dB, 1 kHz: 35 dB, 2 kHz: 40 dB, 4 kHz: 45 dB (PTA = 37.5 dB);
- Left ear – 500 Hz: 25 dB, 1 kHz: 30 dB, 2 kHz: 35 dB, 4 kHz: 40 dB (PTA = 32.5 dB).
- Subtract the 25 dB “threshold fence” (12.5 dB right, 7.5 dB left),
- then multiply by 1.5 to get monaural loss: ~18.8 % right and ~11.3 % left.
- For binaural loss: (\[better ear × 5] + worse ear) ÷ 6 = (\[11.3×5] + 18.8) ÷ 6 = 12.5 %.
Frequently Asked Questions
How to Calculate Hearing Loss Percentage?
Follow our calculator’s prompts: enter thresholds, compute monaural losses, then combined loss if needed.
How to Calculate Percentage of Hearing Loss from an Audiogram?
Determine the four-frequency PTA for each ear, subtract 25 dB, multiply by 1.5 for monaural loss, then use the binaural formula if both ears show loss.
Why do we weight the better ear more in binaural calculations?
Functional hearing relies predominantly on the stronger ear for speech clarity and localization, so the formula reflects real-life hearing performance.
Can I use bone-conduction thresholds instead of air-conduction?
No. VA requires air-conduction thresholds for PTA calculations to reflect real-world hearing.
Can I use this calculator for pediatric patients?
Yes—as long as reliable pure-tone thresholds at the four frequencies are obtained, the same formulas apply.
Is the Hearing Loss Calculation Formula recognized by disability boards?
Most medico-legal panels, including the VA and state workers’ comp boards, accept ANSI-based calculation methods like ours.
What our Users are Saying
As an audiologist, accuracy is everything. This tool’s formulas match the ANSI standards exactly, and the PDF output saves me so much charting time. Highly recommend!
As an audiologist, accuracy is everything. This tool’s formulas match the ANSI standards exactly, and the PDF output saves me so much charting time. Highly recommend!
I’ve been using this calculator in my ENT practice for three months now, and it’s a game-changer. Easy to input audiogram data, and the results are spot-on.
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Mr. Vikash Kumar (Audiologist and Speech Language Pathologist)
Founder of baslpcourse.com
Hello and welcome! I’m an Audiologist and Speech‑Language Pathologist, practicing in India, with a love for everything related to speech and hearing. My overall goal is to do this globally, to inform anyone who’s interested, students, patients, and colleagues, with the coolest information, tips, and resources. This blog is a place where you can find the latest resources from the field, as well as reliable, accessible, and practical guidance for evidence-based business education, whether in the classroom or online. I hope you find it useful please browse through, learn things, and take your career to the next level. If you want to keep up, you’ve got to subscribe, follow me on social media. Thanks for being here with me!

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