Pricing

Simple, honest packages built to help independent clinics get more of the right patients from Google — led by a PA-C clinic owner who knows healthcare's marketing rules. No confusing retainers, no fine print.

Passive monitoring + healthcare-informed spot fixes - $249

Practice Visibility Checkup – from $749 (one-time)

Ongoing Local Visibility & Reviews – from $699/month

Leads, Calls, and Content – from $1,399/month

Most of our clients fall within these ranges. After a short call, we’ll confirm which plan makes the most sense and give you a clear quote before you sign anything.

Pricing that respects your time and your business

Simple, honest packages built to help independent clinics get more of the right patients from Google — led by a PA-C clinic owner who knows healthcare's marketing rules. No confusing retainers, no fine print.

We’ve sat on your side of the table. We tried saving money with low‑tier “SEO” help and it ended up costing us more in lost leads and cleanup work. Four Frame exists so you don’t have to repeat that. Below are straightforward packages, real work, and clear expectations—no magic tricks, no fine print.

One clinic per category, per metro.

We don't take competing clinics in the same market. If you sign with us, the competitor down the street can't. That's part of how we work — not an upsell.

Three ways we can help

Our core packages

Some clients start with a Local Visibility Checkup and then move into one of the ongoing plans once they see what’s possible.

1. Passive monitoring + healthcare-informed spot fixes - $249 monthly

• Citation monitoring across 50+ directories - automated NAP-drift alerts

• Monthly automated ranking report

• Monthly Google Business Profile health check

• Quarterly 15-minute check-in call

• Spot fixes I handle directly: NAP corrections, category & attribute fixes, hours updates, small profile corrections

• Review & Q&A coaching: I flag new reviews and GBP

questions and send you suggested response

language — your team posts the reply (keeps any

patient-facing language on your side of the HIPAA

line)

• Healthcare-specific compliance catches: PHI

exposure in reviews, Medicare language, specialty

mismatches

2. Practice Visibility Checkup – from $749 (one‑time)

A one‑time deep clean to fix the most important issues and show you exactly what’s going on with your local visibility.

Best for:
Practices who want a clear, low‑risk way to see what’s broken and what’s possible before committing to monthly work.

What’s included:

  • Google Business Profile tune‑up

    • Fix categories, description, services, service areas, hours, and key links.

    • Clean up obvious issues that make it hard for people to understand what you do.

  • Website clarity and basics

    • Make your homepage and core service pages easier to understand: what you do, where you work, and how to contact you.

    • Check basics like mobile usability, click‑to‑call, and simple contact options.

  • Key listings and NAP check

    • Review a focused set of important listings for name, address, phone, and website consistency.

    • Fix the highest‑priority problems so you’re not sending mixed signals to Google.

  • Review request setup

    • Create a simple “ask for a review” system: direct link, QR code, and message templates your team can use after visits.

  • Loom walkthrough

    • A short, plain‑English video where we show what we found, what we fixed, and what we recommend next.

Next step after this:
If you like the results and want ongoing help, we roll smoothly into one of the monthly plans below—no extra setup fee.

3. Ongoing Local Visibility & Reviews – from $699/month

Steady, practical work each month to keep you showing up and keep reviews coming in.

Best for:
Practices that want someone they trust to keep Google, reviews, and basic website updates handled.

What’s included:

  • Ongoing Google Business Profile care

    • Regular updates to photos, services, and offers.

    • Helpful Google Posts for seasonal promos, financing (if offered), and more.

    • Support with Q&A so common questions are answered clearly.

  • Listings monitoring and cleanup

    • Keep an eye on important local listings and fix new inconsistencies before they become problems.

  • Review support

    • Help you send review requests consistently using the system we set up.

    • Light support responding to new reviews with clear, respectful templates.

  • Light website updates

    • Small but meaningful improvements to service pages, FAQs, and calls‑to‑action over time.

    • Make it easier for people to understand your services and contact you quickly.

  • Simple monthly summary

    • A short report and quick Loom video with what we did, what changed, and what we’re focusing on next.

4. Leads, Calls, and Content (Pro) – from $1,399/month

For practices who want to get serious about turning visibility into booked jobs through better call handling and ongoing content.

Best for:
Established practices that already have leads but want more calls answered, and better long‑term SEO.

What’s included:

  • Everything in Ongoing Local Visibility & Reviews, plus:

  • Monthly SEO content

    • 1–2 SEO‑focused blog posts or guides per month, written to match how patients actually search in your area.

    • Smart internal linking from blog content to your main service pages to support rankings over time.

  • Healthcare Compliance Screening and listing-suspension protection

    • Light ongoing review of how your services are described on Google so you don't trigger automated suspensions for restricted-medical terms (GLP-1s, peptides, hormone, "treat/cure" language). When something does get flagged, we work the appeal with you — not at you.

  • Strategy check‑ins

    • Short, focused conversations or Looms to review where you’re seeing results and where we want to push next.

Add‑ons

Optional add‑ons

Use these to layer on more support when it makes sense for your practice.

Social media posting add‑on – from $1,500/month

Limited availability.

  • Simple, steady content focused on trust and proof (before/afters, reviews, benefits, testimonials).

  • Posting to key platforms (typically Facebook and Instagram) with a realistic, sustainable cadence.

  • Works best when layered on top of strong Google visibility—not as a replacement for it.

We keep social as a high‑touch, premium add‑on so it never overloads our bandwidth or becomes a volume game.

Why We Price This Way

Why our pricing looks like this

We know what it feels like to waste money on cheap marketing that creates more problems than progress. We’ve been there ourselves with low‑tier SEO that actually hurt results and took time to undo.

Four Frame was built to be the kind of partner we wanted: clear, honest, practical, and focused on steady work that helps good clinics show up better online. We won’t promise the world—real results depend on your market, competition, and how consistently you follow through. But we will tell you the truth, do the work, and push hard to get you the best results we can, from one clinic owner to another.

How it works

From “thinking about it” to “let’s get started”

  1. Book a short call

    • Tell us about your practice, where you see patients, and what’s been tried before.

    • We’ll recommend the best starting point: a one‑time Checkup or an ongoing plan.

  2. Pick a plan and sign once

    • You choose the package that fits.

    • We send a straightforward master contract and first invoice through Stripe.

  3. We get to work

    • We run through our checklist, send your first Loom, and keep you in the loop with simple, plain‑English updates.

Request a visibility review

Your Questions, Answered

  • Yes, where it's actually needed. Most of our work is designed so we never receive PHI in the first place — we work with public information (your Google profile, website copy, review systems that run inside your own EHR or scheduling tool). When a specific workflow does require PHI access, we sign a BAA and document it before any work begins.

  • No. Our core SEO work is built around public-facing information — your Google Business Profile, website copy, citations, and review systems that operate inside your existing EHR or scheduling tool. We design the workflow specifically so PHI never enters our systems, which keeps us outside HIPAA's covered-entity scope. If we ever add a service that requires PHI access for a specific client, we sign a BAA before work begins.

  • no, we use respectful asks via your existing patient flow. The patient themselves will write the review.

  • we don't replace your stack, we make it easier for people to find it

  • Getting started is simple. Reach out through our contact form or schedule a call—we’ll walk you through the next steps and answer any questions along the way.

  • Three things: a PA-C co-founder who's actually run a clinic, no long-term contracts, and a one-clinic-per-category rule that keeps us from playing both sides of your local market.

  • Email john@fourframemarketing.com or book a call through our contact page. We aim to reply within one business day, usually faster.

  • Three core packages ($749 one-time Checkup, $699/mo Ongoing, $1,399/mo Pro) plus optional add-ons. After a short call we confirm which plan fits and send a clear quote. No hidden fees, no setup costs on top of the listed price.

  • Collaborative and honest. We bring ideas, do the work, and keep you in the loop with plain-English updates and short Looms. We won't promise the world, but we'll tell you what we're doing and why, every month.

  • We work the appeal — and we know what triggers them. Most agencies don't realize that words like "GLP-1," "stem cell," "peptide," "testosterone," "cure," and "treat" are automatic flags in Google's healthcare ad policies. Pro tier includes ongoing review of your service descriptions so you stay out of the appeal queue in the first place.