What are no-shows actually costing your practice?

Medspa 15-25%, dental 12-15%, salon 15-18%, chiropractic 18-22%, law firm consult 30%+. The calculator defaults to industry averages but you should pull your actual rate from your practice management software last 90 days.

It is not just the lost ticket. Add the staff time (already paid), opportunity cost (a waitlisted patient denied), and the lost rebook/cross-sell. A $290 dental hygiene no-show actually costs $400-500 fully loaded. A $1,200 crown no-show approaches $1,800.

Deposits give patients skin in the game. Industry data: requiring a $50-$100 deposit on tickets over $300 reduces no-shows 50-75%. The patient does not lose the deposit if they reschedule with 24h notice — the friction alone changes behavior.

Flow 1: 7-day confirmation SMS. Flow 2: 48h reminder with one-tap reschedule. Flow 3: 2h "leave home soon" nudge. Flow 4: same-day waitlist auto-fill on cancellation. Flow 5: post-no-show recovery sequence. Flow 6: deposit collection on high-ticket. Combined effect: 25% no-show → 12% no-show in 60 days.

If you are under 10%, congratulations — you are best-in-class. The 6-flow automation still helps with rebook rate and waitlist optimization, which lifts capacity utilization 8-15%. Different ROI mechanism, same automation.

No. I build the flows in your existing PMS (Boulevard, Vagaro, Aesthetic Record, Mindbody, Curve Dental, Open Dental) or wire GoHighLevel + Twilio if you do not have a PMS-native automation layer. The AI Stack ($7,500 setup) includes the integration work.

Confirmation + reminder flows ship in week 1 and impact begins immediately. Full 6-flow stack deployed in 60 days. Most clients see no-show rate drop 40-60% in the first 90 days from baseline.

Yes. The PDF action plan email contains the 12 SMS templates I use, the deposit-policy script, and the waitlist auto-fill logic. If you have a comfortable Twilio/Zapier setup, you can ship most of this yourself. If you want it done in 60 days with the AI receptionist layered on, book the $7,500 + $1,997/mo install.

Yes — enter your real average ticket. For multi-treatment practices, use a weighted average. For consult-heavy verticals (law, plastic surgery), the consult itself does not generate ticket but the downstream conversion does — use the LTV of the converted patient.

Mandeep Singh, Sprout Sage Solutions. I install no-show recovery automation in 8-12 practices per year. Most agencies will not show you the math. I will.