Pricing model · Medical practices
Engage Ads charges a flat monthly fee to run advertising for elective medical practices. We do not take a percentage of ad spend and we do not require a long-term contract. That means our fee does not rise when your budget rises, so recommendations about budget are made on the numbers rather than on what they earn us.
Most agencies charge a percentage of your ad budget, typically 10 to 20%. It is the industry default, and it contains a structural conflict that is rarely stated out loud.
Under that model, the agency's revenue goes up when your spend goes up, whether or not the spend is producing patients. Every incentive points one direction:
None of this requires anyone to act in bad faith. It just means that when the honest answer is "stop spending on this," the agency has to argue against its own revenue to say it. Most people, most of the time, do not.
You pay the same monthly fee whether your ad budget is $3,000 or $30,000. Consequences:
Budget advice becomes credible. When we say increase spend, it is because cost per booked procedure supports it. When we say cut a campaign, saying so costs us nothing.
Efficiency is not punished. If we halve your cost per booked patient, you keep the savings. Under percentage pricing, improving your efficiency reduces what your agency earns.
Your costs are predictable. Scaling ad spend during a strong quarter does not silently increase your agency bill at the same time.
Scaling is not a negotiation. Doubling budget doubles the media, not the management fee.
One team running three systems together:
Plus HIPAA-aware tracking, compliance-reviewed creative, and weekly reporting in leads, cost per lead and follow-up status.
We publish our actual campaign numbers rather than rounded case-study claims. The dataset, methodology and limitations are in the 2026 Georgia Medical Practice Advertising Benchmark, including what we could not measure.
Worth being direct, because it saves everyone a call:
Elective and cash-pay practices where one new patient is worth four figures or more: med spas, dental, dermatology, chiropractic, ENT and similar. Enough capacity to take new patients, and someone who answers the phone.
It depends on scope, how many channels, how many locations, how much creative production. The 30-minute audit establishes the scope and we quote from there. What does not change is the structure: one monthly number, no percentage of spend.
It can be. If you are spending $1,500 a month on ads, a percentage-based agency will invoice you less than we will. That is a legitimate reason to choose one. Flat fee gets better for you the more you spend, which is also the point at which the incentive conflict starts to matter.
You do. Your Meta and Google accounts stay in your name with your billing. If you leave, the accounts, the data and the campaign history stay with you.
Yes, a one-time $250 to $500 depending on what has to be built: tracking installation, account structure, creative production and automation build. It is quoted once, up front, in the proposal.
The term is six or twelve months, not open-ended, so the point is to catch it early: weekly reporting on leads and cost per lead means you will see it not working early rather than at the end of a twelve-month term.
No. That is the whole proposition. A practice spending $30,000 a month pays the same management fee as one spending $5,000.
We review your ad accounts, procedure economics and intake flow, then send a written assessment, including whether paid advertising is the right channel for you at all.
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