Road traffic fatalities constitute 16.6% of all deaths, making this the sixth leading cause of death in India, and a major contributor to socio-economic losses, the disability burden, and hospitalisation. An attempt to measure catastrophic levels of health expenditure on accidental injuries, road traffic accidents, and falls, finds that the burden of out-of-pocket expenditure is the highest for such injuries. The financial burden is particularly high for poorer households in rural areas, and those seeking treatment at private health facilities with no health insurance.