How is this different from a normal SEO agency?

Agencies bill hours. We bill outcomes — 20 to 100+ medically reviewed pages every month at one transparent monthly price.

Do you actually rebuild my website?

Yes. A practicing MD founder oversees a new, conversion-optimized site published to your own GitHub repo. You own the code and domain and can leave anytime.

Is the content medically accurate?

Yes. Every page is reviewed for medical accuracy before it publishes, with optional provider and treatment copy review.

How long until I see results?

New patient calls typically in 30–60 days, meaningful ranking lifts in 60–120 days, compounding from month four.

Urology

Urology Google Ads: what a booked patient actually costs you, and which keywords are worth bidding on

Most urology practices measure clicks. The only number that matters is cost per booked patient, and it swings 10x depending on whether you're bidding on vasectomy, kidney stones, or low-T. Here's the paid-search economics, service line by service line.

Urology is one of the few specialties where a single Google Ads account has to serve wildly different economics at once. A no-scalpel vasectomy is a $700 to $1,200 cash procedure that often converts on the first call. A UroLift or Rezum for BPH can clear several thousand dollars and open a years-long relationship. Low-T and ED are recurring cash revenue, but you're bidding against Hims, Ro, and every telehealth brand with a national budget, so those clicks are brutally expensive. Kidney stones are urgent and high-intent, yet frequently insurance-driven and one-and-done. Run all of that through one flat "urology marketing" campaign and you'll overpay for the searches that don't convert and underspend on the ones that do. This page breaks down cost per booked patient by service line, which keywords actually earn their spend, and where practices quietly light their ad budget on fire. If you'd rather see the numbers for your own practice first, the free Surge Report estimates your cost-per-booked-patient gap in about 60 seconds, no call required.

$8 to $25+

Typical Google Ads CPC for ED / low-T keywords (telehealth-inflated)

Industry paid-search benchmarks, illustrative

3x to 5x

Difference in cost per booked patient between vasectomy and low-T campaigns

Surge illustrative benchmark

~40%

Share of urology conversions that arrive by phone call, not web form

Healthcare paid-search norms, illustrative

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Cost per booked patient, not cost per click, is the only number that matters

A $22 click on "low testosterone treatment near me" and a $4 click on "no-scalpel vasectomy [city]" tell you almost nothing on their own. What matters is how many of those clicks become a booked, kept appointment, and what that appointment is worth. Vasectomy keywords convert like few things in medicine: the searcher has usually already decided, they just need a provider and a date, so a cheap click and a high booking rate can land you a booked patient for well under $100. Low-T and ED are the opposite: expensive clicks, a longer decision, and heavy telehealth competition can push cost per booked patient into the hundreds even though the lifetime value justifies it. Until every campaign is tied back to a booked patient, whether by call tracking or offline conversion import from your PM system, you are optimizing blind.

Which urology keywords actually convert (and which quietly drain budget)

The winners are procedure-and-intent specific: "no-scalpel vasectomy [city]," "UroLift near me," "Rezum for enlarged prostate," "kidney stone specialist open today," "vasectomy reversal cost." These searchers want a specific procedure from a specific provider, now. The budget drains are the broad, research-stage, and mismatched terms: bare "urologist," "BPH" with no treatment intent, anything with "free," "at home," "self-treatment," or "OTC," plus the ED terms where Hims and Ro will always outbid you for a click that was never going to drive to your office. Aggressive negative-keyword lists and tight match types do more for urology ROAS than raising bids ever will. Kidney stone campaigns need urgency modifiers and call extensions because that patient is booking by phone within the hour, not filling out a contact form.

The paid-search economics, service line by service line

Treat these as separate businesses inside one account, because they behave like separate businesses. Vasectomy: cheap clicks, high conversion, cash or low-copay, predictable procedure revenue, your most efficient spend. BPH procedures (UroLift, Rezum): mid-cost clicks, longer consideration, high per-case value, best paired with a strong "enlarged prostate treatment" landing page and provider credentials up top. Men's health (low-T, ED, Peyronie's): expensive and competitive, but recurring cash revenue and high LTV, so a higher cost per booked patient is defensible if you can show the payback. Kidney stones and hematuria: urgent, phone-driven, often insurance, valuable as much for the downstream imaging and follow-up as the initial visit. Give each its own campaign, budget cap, landing page, and target cost per booked patient rather than one blended "urology" number that hides which line is carrying the account.

See your cost-per-booked-patient gap in a free Surge Report

Drop your practice URL into the Surge Report generator and, specifically for your urology practice, you'll see an estimate of what you're likely paying per booked patient by service line, the high-intent keywords where you're either absent or overpaying, the conversion friction between an ad click and a kept appointment, and the top three plays to lower cost per booked patient. It's calibrated to urology economics, so vasectomy, BPH, and men's-health lines are weighted by their real value rather than treated as one generic funnel. Free, about 60 seconds, and no sales call required. If the numbers look worth fixing, you can book a strategy call from there.

Prefer to talk it through?

Book a strategy call with the team.

Twenty minutes. We'll walk through the specific opportunities in your market and what a Surge engagement would look like for your practice.

Frequently asked

What should a urology practice expect to pay per booked patient on Google Ads?

It varies dramatically by service line, which is exactly the point. A vasectomy patient can often be booked for well under $100 because the clicks are cheap and intent is high. A low-T or ED patient can cost several times that thanks to telehealth competition on those keywords, though the recurring cash value usually justifies it. Kidney stone and BPH patients land in between. Any agency quoting you a single blended cost per booked patient for "urology" is hiding which line is actually working. These figures are illustrative industry ranges, not a guarantee.

Can I run Google Ads for ED and low-T against telehealth companies like Hims and Ro?

Yes, but not by trying to win the click auction on the most competitive head terms, where national telehealth budgets will outbid you. Local urology practices win on angles telehealth can't match: in-person evaluation, real lab work, a physician who can treat the underlying cause, and "near me" intent. Tightly geo-targeted campaigns, procedure-specific keywords, and landing pages that lead with those in-person advantages convert far better than a bidding war on "ED treatment."

How do I track conversions from Google Ads without creating a HIPAA problem?

Carefully, and it's a real concern in urology because the search terms themselves can be sensitive. Avoid pixel-based tracking that could send patient identifiers or condition data to ad platforms. The cleaner approach is call tracking for phone bookings plus offline conversion import, where a booked appointment is confirmed in your practice management system and only an anonymized conversion signal, not PHI, is sent back to Google. The free Surge Report reviews how your current setup measures booked patients and flags gaps, and you can book a strategy call to map the compliant version for your practice.

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