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.

Ophthalmology

Ophthalmology Google Ads live or die on one number: cost per booked patient

LASIK, cataract, and premium-IOL keywords are three completely different economics. Bidding on all of them the same way is how ophthalmology practices burn $10K/month and blame Google.

Ophthalmology is one of the most expensive verticals in all of Google Ads. "LASIK near me" routinely costs more per click than personal-injury lawyers pay, and the practices bidding on it are largely bidding blind — optimizing for clicks and cost-per-lead instead of the only number that matters, cost per booked surgical or premium-lens patient. The trap is that ophthalmology runs at least three different businesses through one account: elective LASIK (pure cash, sky-high CPCs, long consideration), cataract surgery (Medicare-fixed reimbursement where the real margin is the premium-IOL upcharge the patient pays out of pocket), and the everyday demand — dry eye, optical retail, glaucoma, comprehensive exams — that feeds the surgical funnel at a fraction of the cost. Most accounts pour budget into the two-hundred-dollar-a-click LASIK auction, ignore the twelve-dollar-a-click queries that actually surface premium-IOL candidates, and never map a click back to a booked chair. Before you spend another dollar, run your site through the free Surge Report™ — it shows which ophthalmology keywords are converting, which are draining budget, and what your real cost per booked patient looks like. Then book a strategy call to fix it.

$8–$40+

Typical cost per click on "LASIK near me" and refractive-surgery keywords

Google Ads healthcare auction benchmarks

$1,500–$3,500

Out-of-pocket upcharge per eye for a premium (multifocal/toric) IOL — the real ROI lever in cataract paid search

Industry-typical premium IOL range

$300–$600+

Realistic cost per booked LASIK consult when the account is optimized to conversions, not clicks

Surge benchmark (illustrative)

See your Surge Score™ in 60 seconds

What's your Ophthalmology practice losing every month?

Surge analyzes your homepage and shows you the exact monthly revenue your practice is leaving on the table.

Get my Surge Score

Three service lines, three different auctions — stop bidding on them as one

A single ophthalmology Google Ads account is quietly running three separate economies, and treating them identically is what wastes the budget. LASIK and refractive surgery is a cash-pay elective with the highest CPCs in the specialty and a multi-week consideration cycle — the patient clicks five ads before booking a consult. Cataract is the opposite: demand is huge and CPCs are moderate, but Medicare fixes the surgical reimbursement, so the profitable objective isn't 'a cataract patient,' it's a cataract patient who upgrades to a premium multifocal or toric IOL out of pocket. Then there's the base layer — dry eye, optical/glasses, glaucoma, diabetic eye exams, comprehensive exams — cheap clicks with high intent that most practices never advertise. The account should be budgeted so LASIK dollars are held to a strict cost-per-consult, cataract campaigns lean into astigmatism and 'lifestyle lens' intent that self-selects premium-IOL candidates, and the low-CPC base demand quietly fills the schedule and feeds the surgical funnel.

Which keywords actually convert — and which just spend

Not all high-CPC ophthalmology keywords are worth the price, and not all cheap ones are worth ignoring. High-cost, high-intent and worth defending: 'LASIK [city],' 'LASIK cost,' 'am I a candidate for LASIK,' 'SMILE eye surgery,' 'refractive lens exchange.' These are expensive but they book consults. Quietly profitable and usually under-bid: 'cataract surgery [city],' 'multifocal lens implant,' 'toric lens for astigmatism,' 'premium lens cataract surgery,' 'best cataract surgeon near me' — these surface the out-of-pocket premium-IOL patient at a fraction of the LASIK CPC. Cheap clicks that fill the daily schedule: 'dry eye treatment,' 'eye doctor near me,' 'eye exam [city],' 'glaucoma specialist,' 'diabetic eye exam.' And the budget drains to cut: broad 'eye doctor' with no geo or service qualifier, 'free eye exam,' anything pulling in contact-lens-price shoppers or vision-insurance-only traffic that will never convert to a surgical or premium-lens case. The fix is negative keywords, tight match types, and conversion tracking that ties a click to a booked consult — not a form fill.

The math: from click to booked chair

The reason ophthalmology practices misjudge Google Ads is that they stop measuring at the click or the lead. Walk the full funnel and the picture changes. Say LASIK clicks cost $25 and it takes 20 clicks to generate one consult request — that's $500 per consult request. If 60% of requests actually book a consult, you're at roughly $830 per booked consult. If half of consults convert to surgery, your true cost per LASIK case lands near $1,600 — against a bilateral case value that's often several thousand dollars. That can be a strong ROI, or a loss, depending entirely on show rate and close rate, which is why the ad account and the front desk have to be measured together. Cataract is a different equation: the click is cheaper and the surgery is Medicare-reimbursed, so the campaign only earns when it produces premium-IOL upgrades. Layer in a $2,500-per-eye premium lens on even a fraction of booked cataract patients and a moderate-CPC campaign becomes the highest-ROI line in the account. The point isn't a universal number — it's that you can't manage what you never trace back to a booked chair.

What your Surge Report shows — then the strategy call

Drop your practice URL into the free Surge Report™ and it surfaces — specifically for your ophthalmology practice — which LASIK, cataract, and premium-IOL keywords you're visible for versus quietly losing, where your booking and consult-request flow leaks paid clicks, an illustrative cost-per-booked-patient estimate calibrated to refractive and premium-lens case values, and the three highest-leverage changes to make first. Free, about 60 seconds, no sales pitch to get the report. If the numbers look worth chasing, book a strategy call and we'll map your account to cost per booked patient — not cost per click — across all three service lines.

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

Why is LASIK so expensive to advertise on Google, and is it still worth it?

LASIK is a high-ticket, cash-pay elective with heavy competition, so refractive keywords sit among the most expensive clicks in all of healthcare — often $8 to $40+ per click. It's still worth it when you optimize to cost per booked consult (and ultimately per surgery) instead of cost per click, use tight geo and candidacy-intent keywords, and measure show and close rates. It stops being worth it the moment you're just buying clicks and hoping.

Should I run separate campaigns for cataract and LASIK?

Yes, always. They have opposite economics: LASIK is pure cash with very high CPCs, while cataract surgery is Medicare-reimbursed, so your paid ROI on cataract comes almost entirely from premium multifocal and toric IOL upgrades the patient pays for out of pocket. Separating them lets you cap LASIK spend to a strict cost-per-consult and aim cataract campaigns at astigmatism and lifestyle-lens intent that self-selects premium-IOL candidates.

How do I find my real cost per booked ophthalmology patient?

You trace a click all the way to a booked chair, not just a form fill: ad spend divided by consult requests, adjusted for how many actually book and then convert to surgery or a premium lens. Most practices never connect the ad account to the front desk, so they never see the true number. The free Surge Report™ gives you an illustrative cost-per-booked-patient estimate for your practice in about 60 seconds, and a strategy call maps it precisely across LASIK, cataract, and optical.

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