πŸŽ‰ Now Accepting New Patients for Direct Primary Care
LISM
Γ€ La Carte Β· Total Transparency

Expertise, on your terms

Keep your current primary care physician and gain direct access to specialized Sports Medicine, Integrative Medicine, and Medical Acupuncture β€” one visit at a time. A completely honest look at what each consultation and procedure costs, with no commitment and no surprises.

Video β€” Γ€ La Carte Care at LISM
No surprise bills, ever

Acute Injury Package β€” Initial Evaluation + Follow-Up Visit

New injuries within the last two weeks β€” such as a sprained ankle, strained shoulder, or twisted knee. Complex or multi-joint cases are better served through a Comprehensive Consultation.

PatientsBundled Visit PriceAdditional Follow-up
Youth & Students β€” Ages 10 to 25$150$25
Adults β€” Ages 26 and above$225$50

Your flat fee covers a complete clinical evaluation, including point-of-care ultrasound at no additional cost when clinically indicated. It also includes a follow-up visit or care coordination within six weeks, referral management if needed, and up to six weeks of direct messaging access through Spruce.

If additional diagnostics or procedures are clinically indicated, Dr. Sri will discuss all options and costs transparently with you before anything is done β€” no surprises, ever.

If you transition into a LISM Monthly Membership within 7 days of your initial consultation, 100% of your evaluation fee will be applied directly toward your initial membership dues and enrollment fee.

Book Acute Injury Consultation (Opening August 14th))
On-site, at cost

Orthopaedic Bracing & Immobilization

Splinting

Orthopaedic Splinting

Splint materials billed at cost β€” typically $15-40 depending on size and type.

  • Procedure fee$50
Casting

Structural Casting

Cast materials billed at cost β€” typically $40-90 depending on size and type.

  • Procedure fee$100
Premium

Premium EXOS Waterproof Bracing

Brace cost: billed at direct cost, typically $100-125, or your insurance may cover the brace itself if you have DME benefits β€” we can provide the necessary documentation for your insurance-covered bracing provider.

  • Procedural fitting fee$75
Virtual

Telehealth Acute Visit

Virtual

Telehealth Acute Visit β€” $75

Virtual assessment for acute concerns β€” history review, mechanism of injury, and clinical guidance. Please note: Virtual visits have inherent limitations. A physical examination cannot be performed remotely, and clinical recommendations are based on history and reported mechanism of injury alone. $75 credited in full toward your in-person visit if seen within one week.

Book Telehealth Consultation (Opening August 14th)
Integrative Medicine Β· Sports Medicine Β· Medical Acupuncture

Comprehensive Consultation ( 40-minute dedicated visit)

For multi-joint complaints, sports medicine concerns beyond two weeks, integrative medicine evaluations, second opinions, and medical acupuncture consultations. Telehealth available for integrative medicine and follow-up visits. In-person evaluation required for sports medicine.

PatientsPrice6-Week Care Package Add-On (see below for details)
Youth & Students β€” Ages 10 to 25$150+ $75
Adults β€” Ages 26 and above$250+ $100

Your flat fee covers a complete clinical evaluation, including point-of-care ultrasound at no additional cost when clinically indicated and up to two weeks of direct messaging access through Spruce.

If additional diagnostics or procedures are clinically indicated, Dr. Sri will discuss all options and costs transparently with you before anything is done β€” no surprises, ever.

6-Week Care Package Add-On (Available to add during your visit or within 7 days following your consultation): Extends Spruce text access with Dr. Sri to 6 full weeks for protocol/plan tweaks, exercise progressions, and recovery check-ins. Also Includes one 20-minute Follow-Up Visit (in-person or telehealth) at weeks 4–6 to review progress.

If you transition into a LISM Monthly Membership within 7 days of your initial consultation, 100% of your evaluation fee will be applied directly toward your initial membership dues and enrollment fee.

Same-Day Interventions β€” Available With Any Consultation

When clinically appropriate, these may be added on the same day as your Acute Injury or Comprehensive Consultation β€” always discussed and agreed upon first

Same day

Suturing and Toe Nail Removal

Medical supplies are billed at direct cost β€” typically $20-50 depending on the extent of the repair.

  • Simple Suture$75
  • Complex Suturing/Toe Nail Removal$125
Same day

Focused Acupuncture Protocol

One focused technique added to your same-day visit: distal point needling, Gua Sha, or cupping. For a fuller multi-technique session, see our standalone Acupuncture pricing under the procedure directory

  • Adults β€” Ages 26+$50
  • Youth & Students$50

Advanced acupuncture protocols and specialized procedures requiring dedicated time are scheduled as a separate appointment.

Pre-participation screening

Elite Sports Physical Evaluation

Thorough sport-minded orthopedic screening β€” grounded in the strict AHA/ACC cardiac framework.

Elite Sports Physical Evaluation

A comprehensive pre-participation evaluation that goes beyond the checkbox. Every screening follows the evidence-based American Heart Association and American College of Cardiology framework β€” ensuring your athlete is cleared safely, not just quickly. All required school, club, and league paperwork is completed and signed at the time of your visit. What happens if a cardiac concern is identified: If a cardiac red flag is discovered during the exam, an immediate diagnostic EKG may be performed right in the room β€” interpreted under the International Criteria for Electrocardiographic Interpretation in Athletes, the evidence-based standard designed specifically for athletic populations. Depending on findings, additional testing or specialist referral may be recommended β€” Dr. Sri will guide you through every next step.

  • Base Evaluation$75
  • EKG add-on+$40
  • Pre-season Concussion Baseline add-on+$25

Concussion Evaluation & Management

A comprehensive, evidence-based approach to sport-related concussion β€” from initial neurological evaluation through individualized return-to-play and return-to-learn protocol development. For student athletes, academic accommodations and school coordination are addressed alongside athletic clearance.

Package

Concussion Recovery Package β€” 3 Visits

Initial evaluation Β· Follow-up assessment Β· Return-to-play & return-to-learn protocol.

  • Standard$250
  • Athletes with LISM preseason baseline on file receive a discounted package rate$200
Ongoing

Additional Follow-Up Visits

After the first three visits, as clinically indicated:

  • Adults β€” Ages 26+$50 per visit
  • Youth & Students β€” Ages 10–25$25 per visit

Looking for more than a one-time consultation?

Membership at LISM means having a physician who knows your full story β€” direct access, unhurried care, and a partner invested in your health for the long run. Not just today's problem, but everything ahead.

Γ€ La Carte Specialty Care β€” Lexington, KY | LISM