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Simultaneous versus sequential bilateral cochlear implants in adults: Cost analysis in a US setting

From a purely surgical efficiency point of view, simultaneous cochlear implantation (SimCI) is more cost‐effective than sequential cochlear implantation (SeqCI) when total direct costs are considered (implant and hospital costs). However, in a setting where only SeqCI is practiced and a proportion of initially unilaterally implanted patients do not progress to a second implant, this may not be the case, especially when audiological costs are factored in. We present a cost analysis of such a scenario as would occur in our institution.