$78
median cost per qualified consult
The cost per lead is a trap.
Most medical marketing reports stop at "cost per lead." That number tells you almost nothing. A $20 lead that books a $400 hydrafacial and ghosts the surgical consultation costs you more than a $180 lead that books a $9,000 procedure. The cheap lead funded a tour of your office; the expensive one funded the operating room.
Ferminius funnels measure cost per qualified consult, then cost per procedure, then revenue per acquisition cohort. The cheapest lead is rarely the cheapest patient.
Cold calling is dead. AI killed it.
What the engagement actually delivers.
- Procedure-level funnels. One landing page per procedure, written by someone who has read the consent forms. Not a single "schedule a consultation" page that buries the buyer in choice.
- Screening that respects the patient. Forms that ask the right four questions — not the wrong twelve. The goal is filter quality, not interrogation.
- Automated follow-up sequences. SMS-first, email-second, mapped to procedure cycle. Most clinics lose 60% of viable leads in the first 24 hours; we close that gap with response automation that still sounds like a human wrote it.
- Referring-physician referral loop. Where it applies — derm referring to plastics, OB-GYN referring to aesthetics — a quiet B2B layer that lifts your highest-margin patients without paid media.
- HIPAA-aware tooling. CRM, forms, SMS, recordings — every component selected with PHI considerations in mind. Not a legal opinion; a practical baseline that doesn't blow up your audit.
Verticals served.
- Plastic surgery — primary, revision, post-bariatric.
- Aesthetic medicine — injectables, laser, body contouring.
- Dermatology — medical and cosmetic.
- Hair restoration.
- Adjacent specialties: OB-GYN aesthetic services, men's wellness, IV therapy.
What we don't take.
Cosmetic offers that promise medical outcomes they can't deliver. Practices that book consultations they can't staff. Clinics where the receptionist is the bottleneck and the owner won't fix it. The funnel is the easy part; the room behind the funnel has to work.
The first 30 days.
D 01—07
Audit + procedure map.
Current funnel teardown, consult-to-procedure rate measurement, procedure-mix analysis. We finish with a thesis: which 2–3 procedures deserve dedicated funnels first.
D 08—21
Build + integrate.
Landing pages, forms, CRM wiring, SMS/email sequences. HIPAA review pass. Tracking validated end-to-end.
D 22—30
Live + tuning.
Paid traffic on, daily review of qualification rate, weekly review of consult-to-procedure. By day 30 we know the unit economics.