15 Patient Leads at $30 Each: Running Google Ads for a Med Spa on a $443 Budget

Small budgets punish mistakes that large budgets absorb. Here's how I found where a med spa account was leaking, and what it produced on spend most agencies wouldn't accept.

Can Google Ads work on a small budget?

Yes, provided the budget is concentrated. This campaign produced 15 leads at roughly $30 each from $443 of spend by funding one service in a tight geographic radius, rather than spreading across a full treatment menu.

What is a good cost per lead for a med spa?

It depends on patient lifetime value and treatment margin. Around $30 per enquiry worked comfortably here because a converted patient is worth many multiples of that. Judge cost per lead against what a patient is worth, never against an industry average.

Why should conversion tracking not count page views?

Because a page view isn't an enquiry. Counting contact page visits as conversions produces a number with no relationship to how many people made contact, and every optimisation decision built on it aims at the wrong target.

How wide should geographic targeting be for a local clinic?

The realistic catchment for a first appointment, which is usually narrower than owners expect. People will travel for an established relationship but rarely for an initial consultation, and paying for clicks outside that radius is pure waste on a small budget.

Should local service ads point to the homepage?

No. Send traffic to a single-service landing page with one clear action. A homepage with a full service menu asks a visitor who already told you what they wanted to search for it again.