MDHearing Neo XS vs Sontro Soundwave

The MDHearing Neo XS is a budget-priced OTC hearing aid in the invisible-in-ear style, available for $397. In HearAdvisor lab testing, it earned a C grade with a SoundScore of 2.9/5, ranking #63 of 65 OTC hearing aids tested. Performance results reveal a mixed profile. The Neo XS shows strength in own-voice comfort, scoring 3.2/5—0.69 points above the category average—meaning wearers may experience less of the "boomy" quality that can accompany hearing aid use. Feedback handling is excellent at 5.0/5, sitting 0.46 points above average, so users should experience stable performance without whistling during typical wear. However, speech clarity is a significant limitation. Speech in quiet scores just 1.0/5, falling 1.77 points below the OTC category average. Speech in noise also scores 1.0/5, 0.48 points below average. Music streaming scored 0.0/5, which is 1.92 points below the category average—this device is not suited for audio entertainment. At this price point, several alternatives offer notably stronger performance. The Elehear Beyond (4.36/5), Apple AirPods Pro 2 (4.06/5), and Zepp Clarity Omni (3.88/5) all deliver better overall sound quality in the same price range. The Neo XS may appeal to those prioritizing own-voice comfort and feedback stability over speech intelligibility, but most users seeking meaningful hearing benefit should consider higher-scoring options.

The Sontro Soundwave is a mid-priced OTC hearing aid priced at $849, earning a B grade with a SoundScore of 3.1/5 in HearAdvisor's lab testing. This behind-the-ear device uses disposable batteries and ranks #61 of 65 OTC hearing aids tested, placing it in the top 92% of its category. In our lab testing, the Soundwave shows a notable strength in own-voice comfort, scoring 3.6/5—a solid result that sits 1.09 points above the category average. This suggests users may experience less of the "talking in a barrel" sensation that can occur with some hearing aids. However, the device faces challenges in other key areas. Speech in quiet scores 2.7/5 (mixed, 0.12 points below average), while speech in noise registers at 1.2/5 (low, 0.28 points below average), indicating potential difficulty in challenging listening environments. The most significant limitations appear in music streaming and feedback handling. Music streaming scores 0.0/5, falling 1.92 points below the category average—a notable weakness for users who value audio entertainment. Feedback handling scores 2.5/5, which is 2.04 points below the category average of 4.54/5, suggesting the device may be more prone to whistling issues. At this price point, competitors offer substantially stronger performance. Devices like the Sony CRE-E10 and Lexie B2 Plus deliver significantly higher sound scores in the same price range. The Sontro Soundwave may suit those prioritizing own-voice comfort over speech clarity and streaming quality, but most users would benefit from exploring higher-performing alternatives at similar or lower prices.