ame calculator, Miami-area defaults. Avg ticket pre-adjusted for the Miami-Fort Lauderdale market so the LTV reflects what we actually see in practices like yours.
Defaults reflect industry medians across med spas with 3 to 7 providers. Adjust to match your practice.
What a typical patient spends in a single visit.
Average across your active patient base. Industry median is 3 to 4.
How many years a typical patient stays active. Industry median is 2 to 4.
Service-mix dependent. Botox-heavy practices land near 70%. Default 65%.
Patient lifetime value
A typical patient at your practice is worth
$4,368
over the lifetime of the relationship, before margin.
Max CAC
$852
30% of LTV-margin
LTV-margin
$2.8K
65% gross margin
Payback
10 mo
To recover max CAC
Branded PDF with your LTV breakdown, percentile ranking, and the 5 retention levers ranked by expected lift.
Miami's med spa market is the most saturated per capita in the country, with an estimated 340 practices clustered around Brickell, Coral Gables, Aventura, and South Beach. Patient acquisition costs run 15 to 25% above the national median because the same Meta and Google inventory is being bid up by every aggressive operator on the strip. The average treatment ticket sits roughly 15% above national, driven by an injectable-heavy service mix and a patient base that skews higher-income, lower-deductible, and increasingly bilingual. Running the calculator with national defaults underestimates both the upside and the spend it takes to capture it. The Miami-adjusted defaults below reflect what we see across the practices we work with in Brickell, Coral Gables, and Aventura, including a Boomerang™ recovery rate that assumes a 4-touch campaign run in English and Spanish.
Practices that set ad budgets based on average ticket consistently underspend on the channels that compound. Practices that price acquisition against true lifetime value can spend 3 to 5x more per new patient and still print margin.
A patient with a $475 AOV but an $3,800 LTV can carry a $400 to $600 acquisition cost without breaking the unit economics. A practice that prices acquisition against AOV caps CAC at $100 and quietly hands market share to whoever runs the LTV math.
8x
AOV to LTV multiplier
Lifting average ticket 10% is hard and slow. Lifting visits per year from 3 to 4 lifts LTV 33% and falls out of a rebooking protocol you can install in a week. The fastest LTV gains are operational, not commercial.
+33%
LTV from one extra visit/year
The practices that compound year over year keep CAC below 30% of gross-margin LTV. Above that, reinvestment capital shrinks and growth flatlines. Below 15%, the practice is usually leaving share on the table to under-investing in growth.
30%
CAC to LTV ceiling
Each one runs the math most owners never sit down to do, with defaults built from the practices we run for and the engagements we audit.
Visit frequency, retention curve, gross margin per service line, and the 5 levers ranked by expected lift. You leave with the plan whether you hire us to run it or not.
No commitment required. No credit card.
Pronk works with one practice per city. Your competitor cannot hire us while you are a client. The strategy we build stays inside your four walls. When the spot in Miami is taken, it is taken.