When someone is diagnosed with locked-in syndrome (LIS) due to an accident, medical error, or negligence, families want to know what the case is actually worth. There’s no single answer. Value depends on the specific person—their age, career, potential recovery, and life expectancy—and on the severity of their condition, whether classic, incomplete, or total LIS.
Economic vs. Non-Economic Damages: What’s the Difference?
Before breaking down the specific types of damages at play in an LIS case, it helps to understand the basic distinction between the two broad categories they fall into.
Economic damages refer to losses with a concrete, calculable dollar value; these are expenses that can be documented through bills, pay stubs, receipts, or expert projections. Because they’re grounded in verifiable numbers, they’re generally more straightforward to prove and less contested than non-economic damages, though the projections for future costs (like a lifetime of care) typically still require expert testimony to establish.
Non-economic damages refer to losses that don’t come with a receipt; these are for the physical and emotional impact of the injury on the person’s life. There’s no invoice for pain and suffering or loss of enjoyment of life, so these damages are typically argued through testimony, medical records, and comparisons to similar cases rather than hard financial documentation. This makes them inherently more subjective, and often the more heavily contested part of a settlement negotiation or trial.
In practice, both categories matter enormously in LIS cases. The economic damages tend to be very large due to the cost of lifetime care, while the non-economic damages can be equally significant given that many people with LIS remain fully cognitively aware of their circumstances but unable to communicate their needs. A strong case typically requires building out both categories thoroughly, rather than relying on one alone.
Damages You and Your Family Could Recover in an LIS Lawsuit
Economic damages form the backbone of most LIS settlements, because the cost of care is so extensive. These are the damages with a calculable dollar figure attached, and in LIS cases they tend to dominate the overall value of the claim:
Past and future medical expenses, including round-the-clock skilled nursing care, ventilators, feeding tubes, catheterization supplies, and ongoing physician and specialist visits
Home modifications and accessible transportation, such as wheelchair-accessible vehicles, ramps, widened doorways, and modified bathrooms
Lost wages and diminished future earning capacity, calculated from the point of injury through the person’s expected working years
Lost wages and diminished earning capacity for family members who quit their jobs or reduced their hours in order to care for their loved one, if applicable
The cost of life-care planning and assistive communication technology, including eye-tracking devices, speech-generating software, and the specialists who train the person and their family to use them
Case management and coordination costs, since a lifetime care plan often requires ongoing oversight from nurses or care managers to adjust as needs change
Non-economic damages account for the human toll of the injury. While harder to quantify, they are often just as significant to the overall settlement and include:
Pain and suffering, which can be substantial given that people with LIS retain full cognitive awareness of their condition but lack the ability to communicate effectively;
Loss of enjoyment of life, covering the inability to engage in hobbies, relationships, and activities the person valued before the injury;
Loss of consortium, which is the impact on the relationship between the injured person and their spouse, including companionship and intimacy;
Emotional distress or mental anguish experienced by the individual, which juries may weigh heavily in cases where cognitive function remains intact.
Our team can investigate your case to determine what you may be entitled to recover.
Factors That Increase or Decrease Case Value
Several variables can push a case’s value up or down significantly, and they often interact with one another rather than operating in isolation:
Age at time of injury: Younger claimants often face a longer lifetime of care costs, which can increase the economic damages calculation substantially, since projected costs are typically calculated out to full life expectancy.
Prior health and life expectancy: These affect how many years of future care and lost income need to be accounted for; pre-existing conditions unrelated to the injury may be factored into life expectancy estimates.
Where you and your loved one live: The state, and even the city, you live in can determine how expensive it is to manage your loved one’s locked-in syndrome. For example, the 2025 median annual cost in Illinois for a semi-private room in a nursing home is $99,645. In Alaska, the median annual cost for the same type of room is $333,975. The costs can also differ within each state.
Degree of cognitive awareness and ability to communicate: This can influence both the non-economic damages and how the case is perceived by a jury, since a person who is fully aware of their circumstances but unable to express it is often viewed as experiencing profound suffering.
Whether your loved one receives care at home or in a facility: The cost of care differs substantially depending on whether your loved one receives their care in a facility or at home. If they receive care at home, your claim demand should include the costs of all the medical equipment required, the modifications you needed to make to your home, the costs of in-home care aides or private nurses, and/or the wages you lost after deciding to care for your loved one.
Strength of liability evidence: A case with clear-cut malpractice or negligence typically settles for more than one with disputed causation, where the defense may argue the injury resulted from an unavoidable complication rather than an error.
Defendant’s insurance policy limits or available assets: Even a strong case may be capped by what the defendant can actually pay, which is why attorneys often investigate all potentially liable parties and applicable policies early on.
Jurisdiction: Some states cap non-economic or punitive damages, which can significantly limit total recovery regardless of how compelling the facts are; venue can also affect jury tendencies and typical verdict ranges.
Quality of the life-care plan and expert testimony: A well-documented, credible life-care plan tends to support higher valuations, while a vague or incomplete plan gives insurers room to argue for a lower figure.
Number of defendants and comparative fault: Cases involving multiple potentially liable parties (e.g., a single physician, an entire hospital, multiple hospitals, or a device manufacturer) can increase total recoverable damages, though comparative fault rules may reduce an award if the injured person is found partially responsible.
Were You a Victim of Medical Negligence?
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Arriving at a number isn’t guesswork. Attorneys and insurance companies typically rely on:
Life-care planning reports that project the cost of care over the person’s remaining lifetime
Economic expert testimony on lost earnings and diminished earning capacity
Comparisons to verdicts and settlements in similar catastrophic injury cases
Multiplier or per diem methods to help quantify pain and suffering, which don’t have a built-in dollar value the way medical bills do
Typical Range of Settlements and Verdicts
Given the lifetime care costs involved, LIS cases can settle in the high six to eight figures. That said, this range is illustrative, not a guarantee. The actual value of any case depends entirely on its specific facts, from the strength of the liability evidence to the jurisdiction where it’s filed. Two people with nearly identical injuries can see very different outcomes based on these variables.
Why Legal Representation Matters to Your LIS Case
Locked-in syndrome cases are complex, especially when they arise from medical malpractice. Proving causation often requires testimony from neurologists, life-care planners, and economists who can speak credibly to both the medical realities and the financial projections involved. Insurance companies frequently attempt to undervalue the true, lifelong cost of care; experienced legal representation can make a meaningful difference in pushing back on lowball offers and building a case that reflects the actual scope of the loss.
Let Us Help You Fight for the Locked-In Syndrome Settlement You Need
The value of an LIS lawsuit is deeply individualized. It depends on the person, the severity of their condition, the strength of the evidence, and the jurisdiction handling the case. If you or a loved one is facing this situation, the most useful next step isn’t searching for an average settlement figure; it’s speaking with a locked-in syndrome attorney who can evaluate the specifics of your case and give you a realistic sense of what it may be worth.
Call Newsome Law when you are ready to learn more about your options. We offer free consultations and take cases with no upfront fees. This means it costs nothing to learn more, and you only pay for our time if we win.
Rich Newsome is a dedicated attorney specializing in catastrophic injury and medical malpractice cases. With over 25 years of experience, she is committed to advocating for victims and their families, ensuring they receive the justice and compensation they deserve.
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