Focused Local Program
Price range: $3,000 to $5,000 / month
Recurring inclusions to define:
- Technical monitoring and prioritization of issues that affect crawlability, indexation, usability, or measurement
- Editorial planning plus 2-3 clinically reviewed content assets per month when that production level is actually included in the contract
- Local-search maintenance for one genuine physical practice location, including factual profile and citation reconciliation
- Coordination of clinical review with clear responsibility for who approves patient-facing health statements
- Reporting that separates search visibility, qualified inquiries, and implementation status rather than promising revenue
Typical scenario: A solo clinician or smaller practice that already has a functioning website and wants a contained local and editorial scope.
Exclusions to confirm: Major redesigns, custom development, photography, legal review, paid media, and third-party platform fees may sit outside the recurring fee.
Uncertainty: A lower-competition market can reduce the amount of work required, but no fee guarantees a particular local ranking or inquiry volume.
Regional Growth Program
Price range: $6,000 to $9,500 / month
Recurring inclusions to define:
- Editorial planning across 5-7 core health topics that fit the practice's real clinical scope
- Legitimate outreach and digital PR focused on editorial relevance rather than purchased link volume
- Conversion-path analysis for patient inquiries, with privacy and accessibility requirements included in implementation decisions
- Video and multi-format content support only where production, approvals, and ownership are explicitly included
- Scheduled clinical and technical reviews with documented changes, unresolved risks, and next actions
Typical scenario: An established practice with 2-5 practitioners, more content to manage, and a wider regional search footprint.
Exclusions to confirm: Media buying, advanced engineering, new brand identity work, professional production crews, and external clinical or legal review may be separate.
Uncertainty: More scope can create more opportunities to improve the site, but it does not establish regional dominance or a fixed patient-acquisition outcome.
Complex Multi-Market Program
Price range: $12,000+ / month
Recurring inclusions to define:
- Digital PR and editorial outreach with clear approval and disclosure standards
- Research-led content projects whose methodology, authorship, and clinical review are documented
- Technical SEO for complex sites with multiple providers, services, or genuine practice locations
- Dedicated project coordination across SEO, editorial, development, analytics, and medical review roles
- Competitive monitoring used for prioritization rather than tactics intended to manipulate or displace competitors
Typical scenario: Telehealth-enabled organizations or multi-state functional medicine groups with complex governance, publishing, and measurement needs.
Exclusions to confirm: Enterprise hosting, data engineering, paid acquisition, legal opinions, regulatory filings, and large production projects should be itemized if not included.
Uncertainty: A larger retainer can fund broader execution, but it does not guarantee national visibility, lower acquisition cost, or superior clinical outcomes.