There are MANY estimates out there, and it is important to understand what they may or may not include. For example, one foundation estimates there are 250,000 ACL tears each year in the USA (from all sports), generating a medical cost of $5 Billion. This ALSO calculates out to $20,000 per indicent. However, only HALF of the ACL injuries are actually reconstructed, so in reality, 125,000 ACL injuries are generating that $5 Billion bill. That calculates out to $40,000 in direct medical expenses for each ACL that is surgically repaired. There are the initial visits, MRIs and other tests, the surgery (sometimes a second surgery), medications, and recovery, including months of physical therapy. But - that's still only the beginning. There is often an expensive knee brace, and there are other, non-medical costs. You have to account for the cost of lost work/disability – and even other costs to an employer, which must cover the time missed by the injured. We haven't even started figuring in the cost of long-term osteoarthritis and other degenerative conditions which result from this injury. Our research shows the overall cost of an skiing ACL injury during the first two years after the incident will run between $60,000 and $120,000.