Capri Ultrasound ran a Performance Max campaign for 15 months and generated 985 real patient bookings — not leads, not form fills — at $42.90 each against a $300 service fee.
From impressions to confirmed bookings, 15 months of consistent campaign management compounded into one of the most directly measurable results in this series.
Revenue generated
$295,500
Estimated at $300 avg. per booking
7x ROAS
Total ad spend
$42,253
Over 15+ months
~$2,726/month
Cost per booking
$42.90
14 cents per revenue dollar
Avg. service fee
$300
Per ultrasound appointment
Total impressions
403,047
Across Search, Maps, Display and YouTube
Click-through rate
4.19%
Healthcare benchmark is 2–3%
Above benchmark
Confirmed bookings
985
Real appointments, not estimates
Monthly avg. bookings
~63
New patients per month from ads alone
~$19k/month
Competing against radiology networks as an independent clinic.
High intent patients — but too many choices
Patients searching for ultrasound services typically come with a referral in hand and are ready to book. The challenge for Capri Ultrasound was not convincing people they needed the service — it was being the clinic they found first when they went looking.
As an independent, owner-operated clinic, Brendan was competing against larger radiology networks and hospital-affiliated imaging centres with significantly more marketing resources. Visibility at the right moment was everything.
The strategy: be there when they are ready to book
A Performance Max campaign was built to place Capri Ultrasound across Google's full network — Search, Maps, Display, and YouTube — throughout the patient booking journey. Crucially, "Booking Confirmed" was set as the primary conversion action, meaning every dollar of ad spend was optimised directly for real appointments, not traffic or form fills.
Running consistently since January 2025, the algorithm compounded its performance improvements over time — learning patient intent signals, refining targeting, and progressively improving cost efficiency month on month.
The numbers, benchmarked.
Every metric sits above industry standard for healthcare advertising and compounds over time as the campaign matures.
CTR vs. healthcare industry benchmark
Healthcare industry benchmark
2–3%
Capri Ultrasound
4.19%
Cost per click vs. healthcare market
Competitive healthcare CPC (typical)
$5–$20+
Capri Ultrasound
$2.10
Booking funnel — impressions to appointments
Total impressions
403,047
Total clicks
19,803
Confirmed bookings
985
Revenue vs. ad spend
Estimated revenue generated
$295,500
Total ad spend invested
$42,253
At 7x ROAS, every dollar is proven.
Every additional $1,000 invested is estimated to generate approximately 23 new confirmed patient bookings and $6,900 in revenue — at the same cost efficiency.
Current — ~$2,726/month
Monthly ad spend
$2,726
Est. monthly revenue
~$19,000
~$19k/mo
~63 bookings · $42.90 per booking
Scaled — $5,000/month
Monthly ad spend
$5,000
Est. monthly revenue
~$35,000
~$35k/mo
~116 bookings · same $42.90 per booking
Full potential — $10,000/month
Monthly ad spend
$10,000
Est. monthly revenue
~$70,000
~$70k/mo
~233 bookings · same efficiency
Projections based on the proven 7x ROAS and $42.90 cost per booking achieved over the 15-month campaign period.
What makes this campaign different.
985 confirmed bookings, not leads
Every conversion is a real Booking Confirmed action tracked by Google Ads. Not a form fill, not a phone enquiry, not an estimate. When the campaign reports 985 conversions, Brendan had 985 new patients.
$42.90 per booking in a $300-per-visit market
A cost per confirmed booking of $42.90 means Capri Ultrasound earned $6.99 for every dollar spent on advertising — well below the $100 to $200 patient acquisition cost typical in healthcare.
15 months of compounding growth
Unlike campaigns that spike and fade, consistent campaign management allowed the Performance Max algorithm to compound improvements over time — learning intent signals and refining targeting month on month.
4.19% CTR in a trust-driven category
In healthcare, where patients conduct multiple searches before committing to a provider, a 4.19% CTR signals strong ad relevance and the fact that ultrasound patients are typically high-intent once they find the right provider.
63 new patient bookings every month
Averaging approximately 63 confirmed new patient bookings per month from Google Ads alone, generating around $19,000 in monthly revenue from a monthly ad spend of approximately $2,726.
600% return on investment
After deducting the full $42,253 in ad spend, the campaign produced approximately $253,247 in net revenue — a result that gives an owner-operator clinic the confidence to plan, hire, and grow.
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