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Ichelon Consulting US · Research article · Philadelphia

How competitive is healthcare marketing in Philadelphia?

Short answer

It depends sharply on the specialty. In our 2026 benchmark of 487 Philadelphia practices, chiropractic and IV therapy have the thinnest Google review profiles of 20 US metros, while med spas, hair restoration and plastic surgery rank in the top six. Overall Philadelphia sits 14th of 20 on review depth (index 0.91), with mid-priced clicks.

Research article for US practice owners · Source: State of US Healthcare Marketing on Google 2026 · Published October 7, 2026

Key points
  • Last of 20 metros: chiropractic (median 54 reviews vs 125 nationally) and IV therapy (23 vs 52).
  • Top six: med spas (195), hair restoration (44.5) and plastic surgery (115.5); the first two are small samples.
  • Philadelphia chiropractors trail on basics too: 84.7% list a website, the lowest share of 20 metros.
  • Planning estimates: $10.20 per general-dentistry click; IVF clicks are cheap ($11.20) but a consultation is not (about $620).
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Dr. Rajan Kohli Owner, Lakewood Primary Care & Wellness · North Dallas, TX
A split market

Two of the thinnest specialties in the country, three in the top six

Philadelphia's overall rank of 14th of 20 is an average of extremes. Between its deepest specialty and its thinnest, the gap relative to national norms is about 3.1-fold, the kind of spread that makes a single "how competitive is Philadelphia" answer misleading. The chart shows each specialty's Philadelphia median review count against the national median.

Above national medianBelow national median
Hair Restoration 1.35×
Med Spa 1.32×
Cosmetic & Plastic Surgery 1.08×
Dental 0.92×
Physical Therapy 0.91×
Dermatology 0.8×
Medical Weight Loss 0.62×
IV Therapy & Wellness 0.44×
Chiropractic 0.43×

Philadelphia median reviews ÷ national median; the center line is 1.0. n = 487 practices, September 2026. Med spa (n = 20) and hair restoration (n = 16) are small groups. Our arithmetic from the US Healthcare Google Benchmarks 2026.

The aesthetic end is crowded. Philadelphia med spas have a median of 195 reviews (5th of 19 metros), and plastic surgery practices 115.5 (6th of 20). The wellness and manual-therapy end is not: IV therapy and chiropractic both rank last of 20, and medical weight loss sits 17th.

The open corner

Philadelphia chiropractic: thin on reviews and on the basics

Chiropractic is the clearest opening in our Philadelphia data. The median practice has 54 Google reviews against 125 nationally, and 47.5% have fewer than 50, the highest share of any metro. The gaps go beyond reviews:

  • Only 84.7% of Philadelphia chiropractors list a website on their Google profile, the lowest share of 20 metros (national 95%).
  • 18.6% list a weekend day, the 2nd-lowest share (national 30.8%).
  • The average rating is 4.67 stars, against 4.77 nationally.

Dentistry, a large share of Philadelphia searches in our data, sits in the middle. The median dental practice has 293.5 reviews, 13th of 20 metros, and 31% have passed 500, about the national share. The weak spot is again the basics: 94% of Philadelphia dental practices list a website on Google, the lowest share of 20 metros, and 17.2% list a weekend day (national 25.5%).

IV therapy looks similar on reviews: a median of 23, with 66.3% of clinics under 50. As plain arithmetic, a chiropractor adding 8 reviews a month would pass the Philadelphia median in about 7 months; the same pace would take about 16 months against the national figure. That ignores competitors' own new reviews, but the order of magnitude is the point.

Paid search

Mid-priced clicks, and a cheap click that is not a cheap patient

Our 2026 planning estimates put Philadelphia general-dentistry clicks at about $10.20 (10th of 20 metros, 1 = most expensive), orthodontics at $18.60 and cosmetic dentistry at $33.20. Medical dermatology runs about $7.80 and cosmetic dermatology $21.10, 10th of 19.

Fertility is the instructive case. A Philadelphia IVF click is one of the cheapest in our fertility benchmark, about $11.20 (2nd cheapest of 16), yet a new patient consultation is estimated at about $620, 8th most expensive of 16 and about 2 times the lowest metro estimate ($310). Pennsylvania is not on RESOLVE's list of states with an infertility insurance law, which may mean more people click and compare clinics before they book. Judging an IVF campaign by its click price would miss that.

What this means for your practice

What this means for your practice

  1. Ignore the city average. Look up your own specialty's Philadelphia row; it may be the deepest or the thinnest in the country.
  2. Chiropractors and IV clinics: move first. Fix the profile basics (website, hours, weekend days) and start a review routine while the field is thin.
  3. Med spas and plastic surgeons: plan for a long review program, and use paid search to stay visible meanwhile.
  4. Fertility clinics: measure cost per consultation, not per click. In a state without a coverage law, follow-up and price clarity decide bookings.
  5. Re-check yearly. Thin markets fill up; the first practices to build reviews keep the lead.
Free download

Get the full Healthcare Google Reviews dataset + PDF summary

The numbers behind this page, ready for your own spreadsheet or slide deck.

  • CSV, 187 rows: national figures for 9 specialties plus every metro with at least 10 practices.
  • Fields: average Google rating, median review count, review-count bands, website, phone and hours listed, weekend opening, days open per week.
  • PDF summary with the tables, methodology and a citation line.

Public Google Business Profile data for 9,452 US healthcare practices, September 2026. Aggregates only. Free to reuse under CC BY 4.0.

We'll email the dataset. We never share your details. HIPAA note: don't include patient information. See our privacy policy.

Method

How we know: source, sample, date and limits

Google benchmark: public Google Business Profile data for 487 Philadelphia practices in 9 specialties, found through Google searches centered on Philadelphia and collected in September 2026, part of the 20-metro sample behind the State of US Healthcare Marketing 2026. Review-depth index: each specialty's Philadelphia median divided by its national median; the index is the median of those ratios. The multiples in the chart and the 3.1-fold spread are our own arithmetic. Click costs: planning estimates from our dental, dermatology and IVF benchmark reports, January to August 2026.

  • Small samples: the Philadelphia med spa group is 20 practices and hair restoration 16; treat those rows as directional.
  • Pennsylvania's coverage status is taken from RESOLVE's state-by-state list of infertility insurance laws (checked October 2026).
  • Review counts measure visibility, not quality of care. Cost figures are planning estimates, not quotes or guarantees.
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Keep reading

Related research and services

State of US Healthcare Marketing 2026

The metro review-depth index for all 20 cities.

Northeast med spas

New York, Boston, Philadelphia and DC compared.

Chiropractic Google benchmarks 2026

Every metro's chiropractic row.

Pennsylvania advertising rules

What Pennsylvania practices can say in ads.

Fertility clinic cost per lead

Click cost and consultation cost compared.

Which US city is most competitive?

All 20 metros ranked two ways.

FAQ

Common questions

Is Philadelphia a competitive market for healthcare marketing?

In some specialties far more than others. Our 2026 benchmark of 487 Philadelphia practices puts the city 14th of 20 US metros on Google review depth overall, but chiropractic and IV therapy are the thinnest of all 20 metros while med spas, hair restoration and plastic surgery rank in the top six.

How many Google reviews do Philadelphia dentists have?

The median Philadelphia dental practice in our study has 293.5 Google reviews, a little below the national median of 319.5, and 31% have 500 or more. The Philadelphia dental group is 116 practices, 13th of 20 metros by median.

Is Philadelphia a good market for a new chiropractic practice to market online?

On Google, it is the most open chiropractic market we measured. The median Philadelphia chiropractor has 54 reviews against 125 nationally, 47.5% have fewer than 50, and only 84.7% list a website. A complete profile and a steady review routine can stand out quickly.

How much do Google Ads cost for Philadelphia practices?

Our 2026 planning estimates for Philadelphia are about $10.20 per click for general dentistry, $33.20 for cosmetic dentistry, $7.80 for medical dermatology, $21.10 for cosmetic dermatology and $11.20 for IVF. They are planning ranges, not quotes.

Does Pennsylvania require insurers to cover IVF?

Pennsylvania is not among the states with an infertility insurance law on RESOLVE's state-by-state list. Coverage depends on the employer and plan. For marketing, that can mean more patients compare costs and clinics carefully before booking, which may help explain why a Philadelphia IVF consultation costs more to win than its click price suggests.

A note on this article: it reports aggregate research and explains marketing practice. It is not legal advice, and cost figures are planning estimates, not guarantees of results.

Is your specialty one of Philadelphia's open ones?

A free 30-minute call with the US team. We compare your Google profile with the Philadelphia benchmark for your specialty and show where the opening is.

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