VortiHQ vs. In-House Google Ads Management
Dedicated specialist vs. internal hire — the real cost comparison
Hiring in-house feels like control — but the true cost of an in-house Google Ads hire often exceeds $85,000/year when you factor in salary, benefits, tools, and training. And you still get one generalist. VortiHQ delivers specialist-level execution with performance-aligned pricing and no payroll overhead.
Performance fee on closed revenue — 0 cost in bad months
$70,000–$95,000 salary + 25–30% benefits overhead
Zero — you don't pay us if campaigns don't produce patients
Full salary + benefits regardless of campaign performance
Healthcare Google Ads exclusively — 100% of our practice
Likely manages email, social, and other channels too — diluted focus
Included — we use SEMrush, SpyFu, CallRail, and more at our cost
$3,000–$8,000/year in additional software subscriptions
We see data across multiple healthcare accounts — built-in benchmarking
Only sees your account data — no cross-client pattern recognition
Full-time Google Ads study — every policy change, new feature tracked
Learning competes with daily execution demands and other channel work
Partner-level access, beta features, and Google rep relationships
Standard advertiser access without partner relationship benefits
Requires onboarding — we learn your practice over 2–4 weeks
Deep knowledge of internal processes, team, and patient journey
Dedicated point of contact — responses within same business day
Immediately available — in the office, in Slack
Can scale campaigns across multiple locations or specialties instantly
Scaling requires additional hires — sequential, not instant
The Verdict
In-house costs more than it appears and delivers less than you need without deep specialization.
A great in-house Google Ads hire is $85,000+ all-in and still only sees your account data. They're generalists unless you hire specifically (and expensively) for healthcare Google Ads expertise. VortiHQ gives you specialist-level performance, cross-account benchmarking, tool infrastructure, and aligned incentives — with zero payroll overhead and no risk in underperforming months.
More comparisons
Compare what you'd pay in-house vs. performance-based
Use our ROI calculator to model your patient acquisition cost under both scenarios, then book a call to discuss whether VortiHQ is the right fit for your practice's growth stage.