This is the last paper in a series of three parts entitled "Optimal design of hybrid RO/MSF desalination plants". This research is concerned with exploring the feasibility of hybridization of multi-stage flash (MSF) and reverse osmosis (RO) technologies in order to improve the performance characteristics and process economics of the conventional MSF process. The research project involved an optimization study where the water cost per unit product is minimized subject to a number of constraints. In the first part, the design and cost models were presented, the optimization problem formulated and solutions for a number of cases were outlined. In the second part, results were presented and discussed. In this paper we discuss the sensitivity of water cost from the alternative plant designs to variations in some cost elements and operating conditions. In general, it is concluded that, for the same desalting capacity, hybrid RO/MSF plants can produce desalted water at a lower cost than brine recycle MSF plants, while hybrid plants are characterized, by lower specific capital costs and higher water recovery fractions. Reduction in steam cost allows MSF to compete more with hybrid RO/MSF plants. This result explains the advantage of coupling MSF plants and steam power plants where the exhaust steam from the back pressure turbine represents a relatively cheaper source of heat for the MSF process. Results showed that the RO technology exceeds all other designs over the whole range of energy, chemicals and membrane costs studied here. However, water cost of the RO process was the most sensitive to variations in membrane and electricity costs compared to other hybrid configurations.