Regional Program Scope
Price range: $4,500 - $7,500 /month
Recurring scope to examine:
- Maintenance of search-facing information for genuine hospital or practice locations, including accurate names, contact details, clinician associations, and useful location-specific service information
- Prioritized patient education, surgeon, and reconstructive content with source reconciliation and a defined medical review path before material clinical claims are published or revised
- Technical monitoring focused on crawlability, indexation, internal linking, templates, redirects, metadata, and access to important program, physician, and service pages, with escalation rules for development work outside the retainer
- Cleanup of legitimate directory and citation records where inconsistent program or surgeon details create entity confusion, without fabricating offices, service areas, or operating locations
- Reporting that separates completed implementation, observed search visibility, approved inquiry measurement where appropriate, unresolved tracking limitations, and work blocked by internal dependencies
Best fit: A bounded regional burn or reconstructive practice with a manageable site, a genuine local footprint, and enough clinician review capacity to keep priority pages current.
Scope risk: The same retainer can become under-resourced if technical debt is substantial, approvals are slow, the site contains a large legacy content estate, or multiple locations and teams require coordination.
Broader Institutional Scope
Price range: $8,000 - $15,000 /month
Recurring scope to examine:
- Deeper information architecture across burn care, reconstruction, physician discovery, research, and patient education, with clear ownership for creation, review, updating, consolidation, and retirement
- Expert-led earned-media and commentary outreach where the institution has a substantiated clinical, research, educational, or public-information contribution that can support a credible pitch
- Structured data work only when the markup truthfully represents visible page content and conforms to current search-engine documentation, without treating markup as a guaranteed visibility mechanism
- Discovery support for approved video or testimonial material, with the institution retaining control over consent, clinical review, publication approval, accessibility, and reuse
- Competitive and content-gap analysis used to prioritize useful work based on the program's real services and evidence base rather than as a promise that specified terms will reach specified positions
Best fit: A larger group or university-affiliated burn program with broader audiences, established governance, and enough medical and institutional review capacity to support a more complex editorial queue.
Scope risk: Internal time for surgeon review, consent, interviews, legal or institutional approval, and stakeholder signoff remains a real cost even when it does not appear on the agency invoice.
Research-Intensive Institutional Scope
Price range: $16,000+ /month
Recurring scope to examine:
- Large-site architecture, technical coordination, and authority work for burn institutions serving patients, referring clinicians, researchers, trainees, and other distinct audiences through the same web estate
- International or multilingual search support only where the institution genuinely serves those audiences and can sustain medically reviewed, localized content rather than duplicating lightly adapted pages
- Research or original-data communication only when the institution controls the underlying material, can substantiate the interpretation, and has the rights and approvals required for public use
- Senior editorial and outreach coordination for credible medical, academic, institutional, and public-information opportunities while recognizing that third-party coverage and links remain outside the vendor's control
- Dedicated program management for prioritization, dependency tracking, clinical and institutional reviews, technical handoffs, documentation, and maintenance across departments
Best fit: A research-active hospital or multi-program institution with a large site, complex governance, substantial subject-matter participation, and internal teams able to act on the resulting work.
Scope risk: Higher fees do not remove governance bottlenecks. Without a named internal liaison, decision authority, and reliable review path, agency capacity can be absorbed by coordination instead of approved and published improvements.