Pay-Per-Show Marketing for MedSpas: You Only Pay When a Patient Walks In

Pay-per-show marketing means you pay only when a patient actually shows up at your MedSpa — not for clicks, leads, or appointments that ghost. Digital Niche Agency runs your Facebook and Instagram ads, books each lead, collects a deposit, and bills you $100 per confirmed show, weekly. No retainer, no setup fees, no contracts.

How Pay-Per-Show Works

1. We launch your ads. Custom Meta campaigns with an irresistible intro offer, live within 48 hours.
2. We book and deposit. Our appointment setters call every lead, book them, and collect a deposit to lock them in.
3. You pay only on shows. When the patient walks in, you pay $100. No show, no charge. Billed every Monday for the prior week.

Pay-Per-Show vs. Retainer Agencies

A retainer agency charges $2,000–$5,000 every month regardless of results, and the risk sits entirely on you. With pay-per-show, the risk is on us — we don't get paid unless your calendar fills with real, showing patients. That's why our average client stays 18+ months.

Why We Can Offer It

We've run this model across 200+ MedSpas and collected 20,000+ deposits in 4 years. We know which offers convert, how to keep no-shows near zero, and how to make the math work — so we can confidently get paid only on performance.

What It Costs

$100 per patient show. No setup fee. Minimum ad spend $50/day ($1,500/month), recommended $100/day ($3,000/month), paid directly to Meta or Google. After 90 days you can convert to a flat retainer and save 30–40% as volume grows.

Frequently Asked Questions

What counts as a "show"?

A booked patient who physically arrives at your MedSpa for their appointment. No-shows are never charged.

Are there any upfront or hidden fees?

No. Creative, landing page, CRM, and onboarding are included. You pay the per-show fee plus your own ad budget.

What keeps no-shows low?

A deposit collected at booking, day-before confirmation calls, and automated SMS and email reminders.

Can I cancel anytime?

Yes — there are no long-term contracts.