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Macbach
Pricing

Every tier.
Every product.
Published.

Most agencies treat pricing as something you earn the right to see. We treat it as a minimum courtesy. Ad spend is pass-through. No markup. Our invoice is the management fee only.

Start the Practice AuditBook a scope call
Local foundation.

MapsPRO

From $300
per month, 12-month agreement
Full service page

Google Business Profile optimization, citation management, review velocity, and the schema that makes all of it readable. Every practice should rank in Maps before it invests anywhere else.

Foundation
$300 / mo
$3,600 / year
Single-location practice. GBP optimization, monthly map-pack grid, citation audit across 70+ healthcare directories, baseline review cadence. Runs without site access in most cases.
Growth
$600 / mo
$7,200 / year
Practice ready to move into the top three. Adds on-page schema work, AI Overview optimization, expanded citation coverage, review response management in practice voice.
Dominance
$1,000 / mo
$12,000 / year
Multi-location or competitive-market practice. Full local SEO stack. Per-location GBP profiles, geo-specific service-area pages, multi-hub map-pack grids, practice-group roll-up reporting.
What ships at every tier
  • Monthly Map-pack ranking grid across your service radius
  • Citation audit + reconciliation via BrightLocal
  • Google Business Profile posts + Q&A seeding
  • Review request automation + response management in the practice voice
  • schema.org/LocalBusiness + Physician markup on every relevant page
The organic engine.

RankPRO

From $1,800
per month, 12-month agreement
Full service page

Organic search compounds. We build the pages patients actually find and the articles that answer the question they typed, with medical-review rigor and internal linking that lifts the whole site.

Foundation
$1,800 / mo
$21,600 / year
Practice with clean technical baseline ready for content. 2 net-new clinical pieces per month, 1 technical page upgrade, quarterly site audit, keyword tracking on a 50-term set.
Growth
$3,500 / mo
$42,000 / year
Practice building topical authority. 4 clinical pieces per month, medical-reviewer workflow, competitor gap analysis, 150-term keyword tracking, quarterly content planning reviews.
Dominance
$6,500 / mo
$78,000 / year
Practice committing to category leadership. 6 clinical pieces per month, physician byline coordination, topical cluster builds, 300-term tracking, monthly business review cadence.
What ships at every tier
  • Medically reviewed content with physician byline coordination
  • Internal linking architecture scored on every publish
  • schema.org/MedicalWebPage + MedicalProcedure / MedicalCondition markup
  • Keyword tracking + delta reporting (Ahrefs + GSC reconciled)
  • Topic cluster mapping tied to your service lines
Paid acceleration.

AdsPRO

From $2,500
per month, month-to-month, ad spend pass-through
Full service page

Paid search and social when the math works. We say no when it doesn't. We never mark up ad spend. Management fee is the only thing on the invoice from Macbach.

Foundation
$2,500 / mo management
Single channel (Google, Meta, or LinkedIn). Recommended ad spend $3,000 to $10,000 per month. Weekly reviews, monthly reporting.
Growth
$4,500 / mo management
Two or three channels. Recommended ad spend $10,000 to $25,000 per month. Creative refresh cadence, audience reconciliation, HIPAA-aware audience construction.
Dominance
$8,000 / mo management
All relevant channels. Recommended ad spend $25,000 to $75,000+ per month. Server-side Conversion API, dedicated creative review, quarterly CAC analysis against LTV.
What ships at every tier
  • Server-side Conversion API for iOS-signal-resilient attribution (Dominance)
  • HIPAA-aware audience construction, no PHI in any platform
  • Creative workflow from brief to ship with brand consistency
  • Landing page CRO paired with the ad set
  • Weekly reviews, monthly reporting with what moved and what did not
The website asset.

SitePRO

From $12,000
build, plus monthly maintenance
Full service page

A website is not a brochure. It's the practice's most-used employee. Custom-designed, Core-Web-Vitals green, HIPAA-compliant forms, built to convert. We own the build end-to-end, then retain operations.

Foundation
$12,000 build + $500 / mo maintenance
10 to 20 pages. Custom design on the Macbach editorial system. Schema complete. Lighthouse 90+ mobile. 12-week delivery. 3-year client LTV typically $30K.
Growth
$22,000 build + $900 / mo maintenance
30 to 50 pages. Custom design system. Full schema graph. Conversion tools (quizzes, calculators, comparison tables). 16-week delivery. 3-year client LTV typically $54K.
Dominance
from $45,000 build + $1,800 / mo active management
100+ pages. Geo-landing matrix. Provider profile system. Before/after gallery framework. Custom CMS where warranted. 24-week delivery. 5-year client LTV typically $153K.
What ships at every tier
  • Custom design, no templates, no page-builder runtime dependencies
  • Core Web Vitals green on launch, measured, written into SLA
  • HIPAA-compliant forms with server-side validation and no PHI in analytics
  • Full JSON-LD graph (Organization, Physician, Service, FAQ, Breadcrumb)
  • Accessibility tested to WCAG 2.1 AA and scored before launch
The seat.

Architect

From $8,000
per month, 12-month minimum, 12 to 15 seats total
Full service page

The fractional CMO engagement for practice owners who want the growth brain, not a vendor. We hold twelve to fifteen active Architect seats at a time. Application only. MapsPRO + RankPRO + AdsPRO + SitePRO included at the appropriate tier.

Architect
from $8,000 / mo
Most engagements settle between $10,000 and $18,000 per month once scope is set. All four products wrapped in a fractional-CMO relationship. Monthly business review against practice financials. Quarterly two-day strategy off-site. Direct line to Vince.
What ships at every tier
  • All four product tiers included at Growth or Dominance level as scope requires
  • Monthly business review tied to collections and patient lifetime value
  • Quarterly two-day strategy off-site
  • Direct Slack or Signal channel to the Macbach team
  • Strategic Command Plan rendered in the client portal, updated quarterly
Questions

Answered before
the call.

Do you work with practices outside the six verticals you list?
Rarely. Healthcare-only since 2007 is the business model; the pattern recognition in the six verticals is what the practice runs on. If you are in an adjacent medical category (urgent care, fertility, behavioral health), start with the Practice Audit. If the audit points to a fit, we take the conversation. If it doesn't, the report still gives you the next step.
Why is ad spend pass-through instead of marked up?
Marking up ad spend creates a conflict of interest. We'd be incentivized to spend more, not smarter. Pass-through means our invoice is the management fee and nothing else. You pay Google, Meta, and LinkedIn directly.
Do you guarantee rankings?
No. Ever. Ranking guarantees are a black-hat pattern and a litigation risk in healthcare. We commit to methodology, effort, and transparency. Not to Google's output.
What's the minimum engagement?
MapsPRO and RankPRO are 12-month agreements because local search and content compound, and month-one work pays off in month six. AdsPRO is month-to-month with a 30-day notice. SitePRO builds are project-based with milestone billing, then monthly maintenance. Architect is a 12-month minimum because the fractional CMO role takes that long to produce the business review cadence.
Can you match a lower quote we have from another agency?
We don't match. Price is a product of scope, and our scope is standardized around what actually moves healthcare practices forward. If a lower quote is for narrower scope, the comparison isn't apples to apples. Our pricing is public so you can do the math yourself before the call.
Is HIPAA compliance extra?
No. Every build and every integration ships HIPAA-safe by default. No PHI in analytics, no PHI in remarketing, no non-BAA'd intermediaries.
What's included in the Practice Audit, and does it cost anything?
The audit is free. Ten questions, three minutes. We pull Lighthouse, Ahrefs, Google Places, your live GBP, and your actual review profile, then compute a composite grade across four weighted dimensions and return three priority plays specific to the practice. It is the same report we use on every paying engagement.
Next step

The Practice Audit
is how every engagement opens.

We run it on your practice first. The audit decides whether Macbach is a fit. If it is, the audit also decides which tier to start at and what the first ninety days should produce.

Start the Practice AuditOr book a scope call