adsays.
Paid Media

Calculate cost per attended appointment

Include cancellations and no-shows in lead acquisition economics.

Use a mature appointment cohort

A clinic spends $1,200 and records 60 bookings. Forty attend, ten cancel, and ten remain pending. Booked CPA is $20; cost per attended appointment is currently $30. Wait for pending bookings or explicitly report the figure as provisional.

Use a mature appointment cohort. Find which stage changes the number. Plan around staff time.
Key decisions covered in this article.

Find which stage changes the number

Split scheduled, confirmed, attended, and qualified into separate states. If one channel sends 30 bookings with only 12 attendees, inspect scheduling delay and offer clarity. If both channels have the same no-show rate but different booking cost, the acquisition issue may be earlier.

Plan around staff time

Estimate contribution per attended appointment before choosing a spending ceiling. Track rebooked appointments without counting the same person twice. A channel that looks cheap at booking can still leave staff with idle time or attract appointments the business cannot serve.

Try a related tool

Estimate what you can pay to acquire an order while reserving a desired contribution. Use consistent per-order inputs.

Open Target CPA