This is because medical device companies have spent a significant amount of money researching and developing the product. Some variables can hurt you including waiting to get medical treatment, prior damage and surgery to your knees and advanced age. The METEOR trial: no rush to repair a torn meniscus. The minimum expense in an ambulatory surgical center in Walla Walla, Washington is $5,900, while the exact same treatment has a price of $24,000 in a rural health center in Bucyrus, Ohio. This field is for validation purposes and should be left unchanged. As we grow older, our body gets weaker. The following are examples of how much surgery in the private setting could cost. The American journal of sports medicine,35(1), 103-112. The average amounts for a torn meniscus in California are very similar to the ones that you see in almost all other states. Investigators at seven universities and orthopedic surgery centers in the US studied 351 patients aged 45 years or older who had a meniscal tear and mild-to-moderate osteoarthritis of the knee. looking at partial knee replacement now but with different surgeon. Mr. Benyamin received his Juris Doctor degree from theThomas Jefferson School of Law, and his license to practice law from theState Bar of California. The very best method to save money is to have your insurer involved with the payment. This method uses a device called arthroscope, a gun-like device that has a narrow tube on its peak with a camera and light at the end similar to endoscope. How do you tell if you have a torn ACL or meniscus? Treatment for a torn meniscus often begins conservatively, depending on the type, size and location of your tear. Other variables that can help your case include whether or not you needed surgery for your tear, if you required a partial or whole removal of the meniscus and whether or not you had other injuries to the knee and leg that made treatment and recovery for your treatment harder. There are many different kinds of meniscus tears with some of the more common ones being: No matter the kind of tear you have suffered, there will be considerable downtime as well as medical treatment needed to address recovery. This is according to the surgery, Have I mentioned that torn meniscus does not always require a surgery? The surgery takes 1-2 hours, and you are fully recovered from surgery after a week. : value of the physical examination. Our team is made of world-renowned, experienced journalists who sign and abide to our strict rules and editorial ethics policy. Surgery covered by German healthcare system. Mesiha, M., Zurakowski, D., Soriano, J., Nielson, J. H., Zarins, B., & Murray, M. M. (2007). Most of the time, according to runners who have had the procedure done, have found the tear did get worse if no treatment was done. The exact meniscus tear surgery price will depend on the following factors: As said earlier, the meniscus tear surgery price dramatically changes depending on your location. According to another website, a torn meniscus surgery can cost approximately $9,000, however, the cost can increase to $30,000, depending upon the chosen surgery, place, cosmetic surgeons costs, and hospitalization expenses. Physical examination tests for assessing a torn meniscus in the knee: a systematic review with meta-analysis. A torn meniscus needs surgery if the nature of the injury leaves no prospect of the meniscus healing with physiotherapy alone. . Your anaesthetist will have a fee dependent on the length and complexity of the anaesthetic. Arthroscopic surgery is often used to treat meniscus tears. By contrast, a torn meniscus resulting from car accidents or other acute trauma tends to be much more severe. Mr Vishal Pai | Consulting LocationsSandringham Orthopaedic SpecialistsHarcourt Specialist CentreKnox Private HospitalWattletree Consulting Suites, Phone: (03) 8657 0595Fax: (03) 8657 0596Email: admin@vishalpai.com.au, 2023 Mr Vishal Pai. If you are wondering if atorn meniscus is a permanent injury and whether this can affect your final settlement amount read below to learn more about average settlements for this injury. However, you have to act quickly and meet strict standards. There are two surgical options for repairing a torn meniscus. A standard knee replacement prosthesis can cost $7,000 to $10,000. Fabricant, P. D., Rosenberger, P. H., Jokl, P., & Ickovics, J. R. (2008). However, there are instances in which the extent of the injury is less severe. About Us | Contact Us | Privacy Policy | Amazon Affiliate Disclosure Copyright 2022 | Proudly affiliated with the T2 Web Network, LLC The information contained on this website is intended as an educational aid only and is not intended as medical and/or legal advice. A torn meniscus can mean a lifetime of pain and suffering that goes well beyond just the initial recovery period. The factors involved in a hospital fee estimate are described below. Recovery times for your injury will depend on how severe the tear was, whether or not surgery was needed, which surgical treatment option was taken, any other surgeries and damage that may have been treated at the same time, your age and preexisting health concerns. Surgery, according to Cigna, will work 85 percent of the time. These costs should include routine office visits and X-rays running between $50 and $200 depending on the size of the dog . The orthopedic will make a small incision on the lateral part of the knee after administering general anesthesia. Patients referred to the public system need a referral to the orthopaedic department from their GP. Having closer look on the accounts of the. There are a few common surgical techniques used to repair the cruciate ligament in dogs. Brought own crutches (would have been same amount). Meniscus Surgery Cost in India. As noted before, a meniscus tear from a car accident may not be immediately evident after your accident. A clients most common grievance when they tear the meniscus is swelling and discomfort on the knee, and there are various reasons for a tear to the meniscus, however, this normally occurs to professional athletes given that they tend to be more active.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'thepricer_org-medrectangle-3','ezslot_2',124,'0','0'])};__ez_fad_position('div-gpt-ad-thepricer_org-medrectangle-3-0'); The rate for this surgical treatment depends on the level of damage that requires to be repaired, the location, the surgeon carrying out the procedure, and expected or unexpected inclusions in the final bill. ). The goal of meniscus surgery is to ensure that the knee joint remains pain-free, resilient and functional in the long term. You will receive a 75% reimbursement from the MBS item numbers quoted. If you think you've torn your meniscus, Dr. Parker recommends trying the steps spelled out in RICE as the first line of defense: Rest. All members had Gold Hospital cover. I foolishly jumped into surgery not knowing the changes my employer made to our insurance policy just prior to the surgery. 3. Aggressive activities that require extreme lower-extremity movements trigger our meniscus of getting torn. Physical therapy is cost-effective and has been proven to therapeutically relieve the pain and heal the affected area. It is most successful to patients who have the following qualities: Of course, there are also risks when it comes to repairing or removing your meniscus. As long as there are no issues, no hospital stay will be needed. Most torn meniscus cases that are not the worst type of tear and can recover on their own can get an average settlement value that is under $10,000. I had a 25% co-pay of approved charges, $2800. Extra care must be apprehended for sports that need aggressive physical movements. A meniscus tear is a common knee injury. Over time, this can cause persistent knee pain. Eventually, it may cause arthritis. The jury rejected this and passed a verdict in favor of the plaintiff. Book your consultation SUMMARY Notify me of follow-up comments by email. Else, you will have a hard time functioning normally. SAMPLE VERDICT (Nevada): $19,980. If you have a job that involves manual labor . document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); How Much Does a Torn Meniscus Surgery Cost? Nothing on this website is, or should be taken as, legal advice. But the surgery usually takes only 20 minutes to 1 hour, but in severe cases that require extensive invasive operation like blood transfusion, the patient may stay on the hospital of up to 3 days. More detailed information is given by Mayo Clinic for other treatments for torn meniscus. Private medical care for knee surgery is often preferable for many patients since it is more efficient in wait times. A highly questionable practice without supporting evidence of even moderate quality With 150 000 knee arthroscopies carried out in the United Kingdom each year, and about five times that number in the United States,1 2 arthroscopic partial meniscectomykeyhole surgery for middle aged to older adults with knee pain to trim a torn meniscusis one of the most common surgical procedures. According toHowMuchIsIt.org, prices can go anywhere from$5,000to a whopping$30,000. As long as there are no complications, no hospital stay will be required. In general, meniscus surgery is followed by a period of rest, walking, and selected exercises. The procedure can reduce pain, improve mobility and stability, and get you back to life's activities. If these steps don't help, your doctor may recommend one of two options: physical therapy or knee arthroscopy, a type of surgery. It can cost up to 10,000$. You may find that, even with icing, you cannot walk without experiencing pain or without using a crutch. But this tiny c-shaped cartilage is vulnerable and sometimes gets easily torn. On average, each night you stay in hospital costs $1000-$1500 per day. If this is the case, contact your doctor. They will check the tenderness around the meniscus and will also bend, straighten and rotate the knee to listen for any clicking noises. In this article you will find information on: Whether you should accept your torn meniscus settlement offer, Average torn meniscus settlement values, Scroll down to learn more about maximizing your torn meniscus settlement value. This means that over time, you may find that additional health problems arise, such as arthritis and the need for further surgery. The Hospital charged $ 26K to use their facility for two hours, the doctors charged another $ 12K for their valuable time and the MRI was $ 2K so total cost for this little clean up job was $ 40K. It is important to get full information to things you have to pay when getting a surgery for torn meniscus. The meniscus acts as a cushion between the large thighbone and the shin bone. Aggressive activities that require extreme lower-extremity movements trigger our meniscus of getting torn. For. This cartilage gives smooth interaction to the bones and prevents them from crashing to each other. Complete followup at a minimum of 2 . Arthroscopic meniscectomy is an outpatient minimally invasive surgical procedure used to treat a torn meniscus cartilage in the knee. Fixing the meniscus will also help restore the knee. Also is it full minesectomy, would you require lateral release, there are a few things tha. Navigating the cost of private healthcare can be confusing. No complications. Any hardware or implants necessary to complete the procedure, Expenses or fees due to complications (though these rarely happen), A moderate to large tear at the outer edge of the meniscus, A tear that spreads from the red zone to the inner two-thirds of the meniscus, A surgical repair (to sew the tear together), A partial meniscectomy (to remove the torn section of the meniscus), A total meniscectomy (to remove the entire meniscus), Feeling pain even after resting and applying physical therapy on the knee, To reduce the risk of future joint problems such as osteoarthritis, To help return your knee to normal especially if you are an active person, Have longitudinal tears or radial tears occurring in the red zone, If the repair is performed by the surgeon one week after the injury, A feeling of pain and joint stiffness after the surgery. No recovery no fee guarantee includes a promise that if there is no recovery, our law firm will cover the case costs on your behalf. The average settlement for a torn meniscus may be different in your state but it is more likely that it will match national averages. Remember these considerations before you go ahead with the procedure. So, if the injury is severe and symptoms refuse to disappear even after treatment, your doctor might recommend a surgery. The more serious the surgery, the higher the chances for bleeding, inflammation, and nerve or blood vessel injury are. The impact was severe and caused the plaintiff to suffer a lateral meniscus tear which required surgery. my deductible was 4000 plus I had to pay $50 for each doctor visit, prior and follow up, and $25 copay for each PT appointment. The procedure is costly, at up to $10,000 a patient and it's also usually a waste, if not outright harmful. The cartilage is found between the bones in the knee joint and protects them when you move. SAMPLE VERDICT (Missouri): $18,500. Untreated meniscus tears can increase in size and lead to complications, such as arthritis. The so-called rubber cushions help keep your knees steady. Symptomatic torn discoid lateral meniscus in adults. . Consumable equipment used in surgery is charged separately. Things you can do as a practice of diligent prevention is to have mental and physical awareness by avoiding extreme and hazardous activities. For a knee replacement, the average cost can range from $17,00 to $30,000, whilst a knee cruciate ligament repair can cost between $5,000 and $14,000 so it's worth shopping around for the most affordable option. you may need arthroscopy surgery to repair or remove the damaged cartilage. The surgery requires a few small incisions and takes about an hour. Non-steroidal anti-inflammatory drugs or NSAIDs like Advil or Ibuprofen can be bought over the counter. The recovery time with a stem cell injection is much less than both physical therapy and surgery. This is a range of costs that may fluctuate from the final price based on factors such as consultation with an orthopedic surgeon, hospital selection, etc. Also read about the cost of bunion surgery, brachymetatarsia surgery, and foot corn surgery.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'thepricer_org-box-4','ezslot_3',137,'0','0'])};__ez_fad_position('div-gpt-ad-thepricer_org-box-4-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'thepricer_org-box-4','ezslot_4',137,'0','1'])};__ez_fad_position('div-gpt-ad-thepricer_org-box-4-0_1');.box-4-multi-137{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:20px!important;max-width:100%!important;min-height:250px;padding:0;text-align:center!important}. If you don't have insurance or your insurance will not pay for your surgeryas is common with some weight loss procedures and most plastic surgeries there are ways to afford the health care you need, even if you must pay for the procedure yourself. Hwang, Y. G., & Kwoh, C. K. (2014). Pathologic characteristics of the torn human meniscus. This non-surgical process requires you to rest and use ice, compression, elevation, and some therapy. A fair torn meniscus settlement must take this into account from the start so that you receive a torn meniscus settlement value that helps you recover for your pain an suffering. A jury awarded in addition to the $91,000 settlement, a verdict giving the additional amounts for lost wages and medical expenses. The geographical area can affect the overall expense of the surgery. Meister, K., Indelicato, P. A., Spanier, S., Franklin, J., & Batts, J. As you can see from the above, the value of Access Gap is, on average, a saving of $3,820 in out-of-pocket costs. That is because the said procedure can increase the risk of osteoarthritis in the knee. An MRI, often performed before the procedure is even considered, can cost up to $1,000, while a doctor can charge up to $349 for the office visit and viewing the results. However, as it is common to not know you have a meniscus tear right away, you may have a delay in getting treatment. During the study period, PRP was used for patients with meniscus tears in the setting of no ACL reconstruction. Your doctor may also prescribe physical therapy to improve your leg's range of motion and strengthen the muscles around the knee. I figured it would be around $5,000-8,000 - just received the estimated bill (THIS IS NOT A BILL) - it was $20,000, with about $6,000 "in question" - granted, I am not in pain anymore, but $20,000????? Procedures that are done in foreign countries, such as Mexico and India, can range anywhere from $3,000 to $7,000. TPLO Surgery: $3250 USD for the basic procedure or $3698 USD will include physical therapy and follow up X-Rays and check ups. The plaintiff denied liability and stated the accident was the fault of an unidentified third party. Through innovation, some treatments such as arthroscopic knee surgery will just need little cuts. Once the surgeon has seen you and has offered you surgery, you are placed on a waiting list. That said, when do you need a surgery? According to Guroo.com (a service of the non-profit Health Care Cost Institute), the U.S. national average cost of ACL surgery in 2020 was about $14,800. i had my surgery June 14th and the surgeon said I had a 90% tear. Healing time can include complete inactivity for 8 to 12 weeks. The compensation that you can get for a torn meniscus can vary anywhere from as low as $10,000-$15,000 to as high as $115,000-$150,000 on average depending on the treatment needed and the severity of the initial injury. The injury is not always obvious which means that it is possible to have a meniscus tear from even a minor accident. Torn discoid lateral meniscus treated using partial central meniscectomy and suture of the peripheral tear. This allows the surgeon to see the inside of the knee joint and make repairs. Otherwise, a doctor may recommend arthroscopic surgery, in which instruments are inserted into a tiny incision in the knee. According to PlacidWay.com, torn meniscus surgery can cost an average of $9,000, but the price can increase to $30,000, depending on the chosen surgical procedure, location, surgeons fees and the hospitalization costs. For example, the minimum cost in an ambulatory surgical center in Walla Walla, Washington is $5,900, while the same procedure costs $24,000 in a rural hospital in Bucyrus, Ohio. Tibial Plateau Leveling Osteotomy (TPLO) & Tibial Osteotomy (TTO) TPLO and TTO are considered the most reliable approaches for surgically managing cruciate ligament injuries for dogs who weigh more than 25 pounds. This recovery period will depend on how extensive the surgery was. Sex differences in factors influencing recovery from arthroscopic knee surgery. . Please read our disclosure policy for more info. In the edge of the cliff, athletes are even more prone to physical damages that can harm them persistently and can affect their sporty life. ACL Repair refers to MBS item numbers 49542 and 49539. Having closer look on the accounts of the meniscus tear surgery price, it is important to note that the price will vary accordingly across the state, the surgeon, and the health facility. This website, and any viewing, reading, or receipt of the information herein, does not create an attorney-client relationship. Clinical Orthopaedics and Related Research,468(12), 3399-3405. In the adolescent, acute swelling of the knee joint at the time of injury is common. (adsbygoogle=window.adsbygoogle||[]).push({}); Advertising Disclosure: This content may include referral links. So, its often the first choice for those who have an active lifestyle. on their aesthetic clinics. Usually, arthroscopy is a less intrusive surgery and can be cheaper. The exact length of this recovery varies with the type and severity of the tear, the procedure performed, and the patient's health status, but it can be as long as six months. The approximate cost can range from $3,500 - $4,500. After suffering for 6 months, decided to visit my doctor who then recommended an orthopedic surgeon. That said, the prices for the procedure is potentially lower outside the country. If its minor, then the doctor may recommend a natural remedy such as resting and elevating the knee, but if its severe, surgery may be the next step. A meniscus tear can get better on its own without treatment, but it can take a while to heal. Every visit to the therapist can start at $80 without health insurance. Medications can also help you through the pain. Getting successful knee surgery can help prevent long-term complications like osteoarthritis. SAMPLE VERDICT (Michigan): $15,195. At St. Joseph Hospital[, The American Academy of Orthopaedic Surgeons features a orthopedic surgeon finder[. Surgeon remarked it was the simplest and easiest kind of repair to do on the meniscus. We will only be able to provide you with a formal quote after your consultation. However, some tears require arthroscopic surgery to fix the tear. Both treatment options take a multitude of weeks to recover from. Compression (wrap it or wear a knee brace). The meniscus is a C-shaped piece of cartilage that cushions and protects the knee joint. Talk to your medical insurance company to make sure that a treatment such as this is covered. It is free and physically friendly. This is, of course, assuming that you have no insurance. Prior results do not guarantee similar outcomes. Yes, there are different kinds of meniscus tears. Your doctor may recommend you to proceed if you have: Consequently, there are different types of surgical approach to a meniscus tear. Is it worth having meniscus surgery? 7 Lesser-Known Discounts for the 50+ Crowd, 7 Ways to Stretch Your Reduced Food Budget. , it is important to note that the price will vary accordingly across the state, the surgeon, and the health facility. This fee varies between anaesthetists and the figure provided is just an example. Save my name, email, and website in this browser for the next time I comment. An adult female was rear ended on a public roadway with enough impact to cause multiple injuries, including a lateral meniscus injury to her left knee. In fact, you can find some of the best surgeons and world-class healthcare systems in the said countries. It is important to rest and let the ligament heal. Surgeon's meniscus repair fee - $4,629.00 Surgeon's knee arthroscopy fee - $4,629.00 Surgeon's ACL repair fee - $8,011.00 The rest of the charges were as follows: Anesthesiologist fee - $2,124.00 Consumables - $2,603.00 Drugs - $7,087.13 Equipment - $11,382.00 Facilities - $28,515.00 . Get Your Surgery Done with . They said you have to push yourself because no one else is going to do it for you and when you do, youll find yourself on the top. Physiotherapy can cost just a few hundred dollars per month, whilst painkillers and anti-inflammatory medication can cost far less. Geographical location can influence the total cost of the surgical procedure. Torn Meniscus Sample Verdicts & Settlements, Supporting Citations, Literature & Resources. After the surgical treatment has been carried out, physical treatment will be needed for the next 2 to 8 weeks. It is possible that your torn meniscus injury can become permanent in many ways. Surgical ways are usually a more pricey alternative for the treatment of MCL injuries. Meniscal transplant, a specialty knee surgery now available at UHS, has been a game-changer for 16-year-old student athlete Danielle Hartford of Whitney Point. However, according to our research, the average surgery with no complications will cost anywhere from $3,000 to $11,000. With Health Insurance: Copay + 10-50% Coinsurance Without Health Insurance: $7,400-$9,000+ The menisci are pieces of cartilage in the knee that, among other things, prevent the shinbone and thighbone from rubbing together and help absorb pressure put on the knee joint. Blood work will need to be taken a couple of weeks prior to the treatment. Tears associated with arthritis often improve over time with treatment of the arthritis, so surgery usually isn't indicated. For those who have a medical insurance policy, this treatment will most likely be covered as long as it is considered clinically required. The average settlement value for any accident or injury tends to be higher the more damage and permanency there is in your injury. Solomon, D. H., Simel, D. L., Bates, D. W., Katz, J. N., & Schaffer, J. L. (2001). Additionally, as with any surgery, there is the risk for complications, slow recovery, and long-term problems. Recovery and rehabilitation take a few weeks. These costs can differ from one surgeon to another and can be based upon professional experience, competence, and type of surgery. If its small, then the physician might advise on a natural treatment such as resting and raising the knee, however, if its extreme, surgical treatment might be the next action. swelling - this usually happens several hours after you injure your meniscus. Depending on all of this, a torn meniscus can mean anywhere from 1 month to 6 months of recovery time which requires a considerable amount of time off the leg as well as rehabilitation to allow for the knee to get stronger. Better be safe than sorry, right? The examples serve as a guide and will vary between hospitals, surgeons and other members of the surgical team. This led to a torn meniscus and a knee contusion but the defendant denied liability and stated that the plaintiff lost control of his car for an unrelated reason. Non-steroidal anti-inflammatory medicines can curb swelling and pain. Usually, this surgical treatment can cost anywhere from $5,000 to as much as $30,000 without medical insurance. Jama,286(13), 1610-1620. They improve mobility and promote functionality of the extremities by giving certain range of motion. Treatment for a meniscus tear will depend on its size, what kind it is, and where it's located within the cartilage. If you are uninsured and would like to consider surgery in a private hospital, please contact Mr Pais rooms. Blue Ridge Surgery Center in Raleigh, NC, charges $4,105 for the surgery while in Duke Regional Hospital in Durham, NC, the surgery will cost you $11,626. Sex differences in factors influencing recovery from arthroscopic knee surgery. If a clicking noise is heard, this can be a sign of a tear. The jury found that the liability was shared and therefore the settlement was reduced to $18,500. To make things clear, no, surgery is not always applicable for torn meniscus unless the case is worse or merely severe. The procedure is performed by making small incisions in the skin around the knee and inserting an arthroscope, a small camera, into the knee joint. How Much Would It Cost To Buy A Hot Air Balloon. There are alternative treatments you can try that are drastically way cheaper than the meniscus tear surgery price. Meniscus tear car accident settlements can often be an uphill battle exactly because of this reason which necessitates strong counsel to argue your case. The average price we gave you earlier is for the procedure costs only. Cost Factors The exact meniscus tear surgery price will depend on the following factors: Severity of the damage Sometimes, a twisting injury may severely damage your meniscus. Instant Insurance Patients have three ways to get almost free emergency surgery without insurance: get immediate coverage. Our muscles, limbs, and joints are slowly getting damaged and sometimes get dysfunctional. Drive, if the affected leg is to be used for . There are several medical factors that can affect the average cost of meniscus surgery. To know how much youll spend on out-of-pocket costs, contact your insurance company. Symptoms of Torn Meniscus How long it takes to recover from meniscus tear surgery will depend on the type of surgery. Causes of torn menisci also include twisting and turning, lifting something heavy, or playing sports. This helps to strengthen the muscles around the knee to create more support for the knee overall. Plaintiff was sitting in a parked vehicle in a legal and safe spot when his car was hit by another vehicle on the right rear side. (2004). Basically, the procedure will be costlier if your injury is serious as your surgeon might have to do more. An MRI, typically carried out before the treatment is even considered, can cost approximately $1,000, while a physician can charge up to $349 for the office consultation and checking of the MRI results.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'thepricer_org-banner-1','ezslot_5',140,'0','0'])};__ez_fad_position('div-gpt-ad-thepricer_org-banner-1-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'thepricer_org-banner-1','ezslot_6',140,'0','1'])};__ez_fad_position('div-gpt-ad-thepricer_org-banner-1-0_1');.banner-1-multi-140{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:7px!important;max-width:100%!important;min-height:250px;padding:0;text-align:center!important}. With Health Insurance: Copay + 10-50% Coinsurance, CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Should I Accept My Torn Meniscus Settlement Offer? In this article, we will discuss frequently asked questions about torn meniscus and, But this tiny c-shaped cartilage is vulnerable and sometimes gets easily torn. How much does a meniscus tear surgery cost? Torn meniscus car accident settlements, like most settlements often rely on you getting swift treatment for your injury. For instance, the average cost of torn meniscus surgery in India and Mexico is about one-third of that in the US.