I do not ever want to hear how good it is on the Eastern Side of the Salt Water Divide....reminds me why I have no desire to renew my UK ATPL.
Renewing the US License requires a medical...total cost about $150. Total....done deal...out the door.
That assumes one remains current per FAR Part 61. For a regular working helicopter pilot...all checkrides are done as part of your work. Maintain IF currency by means of Hood or Actual then you are done.