Foundation / Single Location
Price range: $3,500 - $5,000 / month
Scope to compare:
- Local search work for one genuine outpatient location, including accurate contact, access, program, and facility information. A location page should exist because the location is real and the page can provide useful location-specific details, not merely because a marketer wants another geographic landing page.
- 2-3 substantive content pieces or an equivalent editorial workload each month, with source review, clear authorship or review responsibility, and escalation for treatment, safety, eligibility, or other health-sensitive statements.
- Technical maintenance covering crawlability, indexability, internal links, metadata, mobile usability, and implementation quality. Structured data may be maintained when it accurately represents visible page content, but it should not be sold as a guaranteed ranking mechanism or as a special requirement for Google AI Overviews or other Google AI features.
- Google Business Profile operations focused on factual accuracy, categories, services, imagery, and ownership. When review requests are appropriate, ask eligible customers consistently for honest feedback without incentives, discouraging negative feedback, review gating, or selecting only satisfied customers.
- Monthly reporting that keeps search visibility, organic visits, qualified inquiries, and downstream intake measures distinct wherever those measures can be collected and governed appropriately.
Best fit: A single-location outpatient organization with a stable site, a limited set of priority programs, and enough internal availability to review content and implement agreed changes.
Exclusions to confirm: Major development, migration, clinical review fees, legal review, paid media, software, security work, and custom creative production may sit outside the retainer. A competitive geography can increase workload, but geography alone does not prove that a higher fee will produce better results.
Growth / Multi-Location
Price range: $6,000 - $10,000 / month
Scope to compare:
- Coordinated SEO for 3-5 genuine locations, using distinct factual information and local usefulness instead of cloning pages for nominal service areas.
- Program and educational content planning based on services the organization actually provides, with terminology, claims, access details, and reviewer responsibilities documented before publication.
- Authority development through legitimate editorial relationships, relevant citations, digital PR, and link acquisition practices that avoid manipulative or paid schemes presented as guaranteed ranking inputs.
- Analysis of contact and intake paths for clarity and usability, while keeping marketing optimization separate from clinical triage, diagnosis, or medical advice.
- Periodic technical reviews plus privacy-aware analytics, call measurement, or form measurement configured only after the responsible legal, security, operational, and technical stakeholders review the data flow.
Best fit: A regional group whose real locations share a brand but have meaningful differences in programs, facility information, referral relationships, staffing, or local search conditions.
Operating dependency: The vendor's output depends on timely factual updates, access to reviewers, implementation capacity, and decisions about what may be published. Approval bottlenecks can reduce publishable output even when the vendor's labor commitment remains unchanged.
Large Network / Complex Program
Price range: $12,000+ / month
Scope to compare:
- Portfolio-level information architecture, editorial governance, and prioritization across many genuine locations, programs, and audience needs.
- Digital PR and brand-reference work grounded in real expertise, institutional knowledge, research, community activity, or newsworthy organizational information rather than manufactured mentions.
- Custom reporting or data integration that records source systems, attribution limits, missing data, and the boundary between observed search behavior and downstream operational outcomes.
- Dedicated coordination across content, technical implementation, local operations, analytics, and reviewer workflows so the organization can see which team owns each dependency.
- CRM or intake-system integration when appropriate, with privacy, security, consent, permissions, retention, and access controls reviewed by the responsible specialists before sensitive data is used for marketing measurement.
Best fit: A larger network whose operating complexity justifies centralized governance, substantial coordination, and a prioritized cross-location roadmap.
Decision caution: A larger retainer can purchase more labor, research, implementation, and coordination, but it cannot guarantee visibility, inquiries, admissions, or return. Require prioritization so the work queue does not grow faster than the organization can review, approve, and implement it.