Questions about 1st ENT appt

I started having constant pulsatile tinnitus in August. I currently don’t have insurance and hate doctors so I have been putting off seeing someone.

I feel like things are getting worse and I’m starting to get more frequent headaches and worried I have a tumor or vascular issue. I set up an appointment next week with an ENT but they first want me to do a hearing test.

Is this normal and if so why is this needed? My concern is not my hearing, it’s the possible bigger issues. I tried explaining to them my hearing is fine and I even had a hearing test last year with no issues. I just don’t want to waste time and money and just want to get to the root cause asap.

Does anyone have any advice or could you explain your experience and what types of doctors you had to visit with in order to get a proper diagnosis?