Focused Local Specialist Program
Price range: $2,500 - $4,500 / month
Potential recurring inclusions:
- Google Business Profile and local information maintenance for genuine practice locations, with dedicated location pages only where a real office has useful patient-specific access information.
- Query and page mapping for 10-15 primary surgical and condition topics that match the surgeon's actual clinical scope.
- Reviewed editorial production at the published cadence of 2-3 long-form articles, provided the contract states who researches, reviews, revises, approves, and publishes them.
- Technical monitoring after an initial baseline review, with repairs validated after deployment rather than merely listed in reports.
- Monthly reporting that separates impressions, clicks, qualified inquiries, consultation actions, and attribution limits.
Potential one-time work: a technical baseline, analytics review, content inventory, local-profile cleanup, and governance setup may be quoted separately.
Decision fit: This scenario can suit a solo practitioner with limited geographic scope and a manageable site when the work matches the observed gaps.
Exclusions to check: major development, redesign, professional media production, paid advertising, specialized legal review, and third-party software may not be included.
Regional Multi-Surgeon Program
Price range: $5,000 - $9,500 / month
Potential recurring inclusions:
- Condition and procedure content architecture across the services actually delivered by the practice, with clear clinician ownership for medical accuracy.
- Editorial outreach and digital PR with documented targets, approvals, disclosures, and placement evidence rather than promised backlinks.
- Consultation-path analysis that identifies usability friction without treating CRO changes as a guaranteed source of new patients.
- Video search and page integration for reviewed patient education where video adds information rather than duplicating promotional claims.
- Periodic competitive-gap review tied to a written backlog, owner, and reason for reprioritization.
Decision fit: This scenario can suit a multi-surgeon group in a competitive urban market when broader technical, editorial, local, and measurement complexity can be demonstrated.
Internal dependency: surgeon or qualified reviewer time should be budgeted explicitly so clinical approval is not hidden labor.
Large Multi-Market Program
Price range: $10,000+ / month
Potential recurring inclusions:
- Governance for multiple genuine locations, surgeons, specialties, templates, and content inventories, with location pages only where real access information exists.
- Original research or expert-commentary support for editorial outreach when the practice has defensible data, appropriate review, and publication rights.
- Technical SEO for complex architectures, including crawl paths, redirects, rendering, migrations, and template-level issues.
- Priority coordination for CRM and inquiry measurement integrations, subject to privacy, security, access, and vendor-risk review appropriate to the practice.
- Regular strategy reviews tied to a documented backlog and completed acceptance checks.
Decision fit: This scenario is appropriate only when a large orthopedic group or hospital-affiliated hand service has enough real complexity to justify the added technical, editorial, governance, and coordination work.
Exclusions to check: internal clinician time, development outside agreed scope, specialized compliance review, paid media, and custom research production may be separate costs.