My ENT made a one-time $75 fee for an adjustment and didn’t bill me thereafter. Seeing he has an insurance claim when I make an appointment, it a good deal for him.
Charging $7000 is at the higher end of cost for a premium aid that can be found in a clinic – often at $6200 which includes adjustments and batteries for 3 years. Online, the same aids can be purchased for a bit under $4000 with limited supplies. It’d be $2800 at Costco with lifetime support/supplies but no free batteries. There are happy people with all 3 choices.
Your last aid was probably the entry level model which are typically $3200 or so. Mid grade aid bounce around the $4800 mark. Those are prices that have adjustments and batteries included.
If you got on well in noise with the old aids, going with the same level aid again is a choice. The mid-level step up would give better noise result – slightly below the premium.