Single-location operating scenario
Recurring source range: $3,500 to $5,500 / month. Treat this as a comparison band for a narrowly defined local program, not as a universal market price.
Possible recurring inclusions:
- Management of one verified Google Business Profile and local citation cleanup where discrepancies are documented
- Editorial capacity equivalent to 4 medically reviewed educational pieces when that cadence is explicitly contracted and approved
- On-page review for 15-20 priority condition, procedure, physician, and patient-information pages selected from the existing site
- Technical monitoring with a defined ticket process for crawl, indexation, internal-link, metadata, and page-experience issues
- Measurement configured only after privacy and compliance reviewers approve what data may be collected and transmitted
Likely exclusions or dependencies: major development, photography, video production, new-site builds, legal review, and clinician approval time may sit outside the retainer. Competitive urban markets such as New York or Los Angeles can also require broader scope, but price alone cannot establish that need.
Multi-location operating scenario
Recurring source range: $6,000 to $10,000 / month. The useful question is whether the proposal funds real work across 2 to 4 genuine locations rather than duplicating pages or activities mechanically.
Possible recurring inclusions:
- Location-specific profile, citation, and landing-page governance for actual clinics with useful local information
- Editorial planning that distinguishes patient questions, clinician-reviewed education, and service information
- Structured data implementation where the markup accurately represents visible page content, without promising rich results
- Manual outreach and digital PR only where the methods, targets, attribution, and ownership terms are disclosed
- Analytics and lead-event definitions tied to approved data practices so reports distinguish calls, forms, booked appointments, and other events correctly
Likely exclusions or dependencies: the practice may need to provide physician reviewers, location details, approved service descriptions, brand assets, and timely sign-off. Those dependencies should be written into the scope.
Complex organization scenario
Recurring source range: $12,000+ / month. At this level, require a work breakdown that connects cost to complexity rather than to an undefined enterprise label.
Possible recurring inclusions:
- Governance for multiple clinic sites, subdomains, or location sections with explicit ownership and duplication controls
- Video discoverability work, transcripts, metadata, and distribution support where video is already part of the approved content plan
- Custom reporting that reconciles search visibility with approved call, form, and appointment-request events without promising ROI
- Digital PR and earned-media outreach with source review and claim approval appropriate to a medical organization
- Technical coordination across complex templates, migrations, internal search, redirects, canonicals, and crawl controls
Likely exclusions or dependencies: internal engineering access, clinician review capacity, legal and regulatory sign-off, creative production, and data-platform changes may require separate budgets or internal resources.