Why there is no honest "average price"
Search for website pricing and you will find dozens of confident averages. We could not find one that comes from an independent, published survey with a clear method, so we are not going to repeat any of them here. Most are marketing pages from companies selling websites, and the ranges are wide enough to mean almost anything.
What we can do is show you what actually drives cost, so you can read a proposal and know whether the number makes sense. One useful reference point is labor. The Bureau of Labor Statistics reports a median wage of $47.85 an hour for web developers and digital designers in 2025. That is what the person earns, not what a firm bills, which is higher once overhead and profit are added. So when a proposal is far below what the hours would cost, ask what is being left out. Usually it is writing, photography, accessibility testing or ongoing updates.
The four ways to get a website
Most care providers end up choosing among four routes. Each one is a real option for the right organization.
- Do it yourself on a website builder. Lowest cash cost: a monthly subscription plus your own time. It works for a small residential care home or a new agency that needs to exist online quickly. The cost you do not see is staff time, and the quality depends entirely on who on your team has the skills and the hours.
- A purchased template, set up by you or a freelancer. A modest one-time cost plus hosting. The design is shared with everyone else who bought it, and you still have to write every page. Good templates are fine. Weak ones are slow and hard to make accessible.
- A general marketing agency. Higher cost, often with a monthly retainer. You get design and project management, but you may spend time teaching them what a benefit period, a survey or a hospice election is.
- A studio that works only with care providers. Usually priced between a template and a full-service agency. The advantage is that the content structure, the payment and notices pages and the referral and careers paths are already understood, so less of your money goes to the learning curve.
Whichever route you take, the biggest single cost is usually content: writing accurate pages about levels of care, payment, eligibility and careers, and getting real photos with proper consent. If a quote does not say who writes the words and who arranges the photos, assume it is you.
What drives the price up or down
Two sites that look similar on a phone can be very different amounts of work. These are the factors that move the number:
- Number of locations and service lines. Each building or branch needs its own page, contact details and often its own Google Business Profile.
- Writing. Pages written from scratch and reviewed by your compliance team take far more time than pages you supply.
- Photography. A real photo shoot of your building and staff costs more than stock, and is worth more.
- Accessibility. Building to WCAG 2.1 or 2.2 Level AA from the start, and testing with a keyboard and screen reader, takes time. It is cheaper to do it at launch than to fix it later.
- Integrations. Tour scheduling, applicant tracking, online referral intake, donation forms and patient portals each add setup and, for anything touching health information, compliance review.
- Migration. Moving years of old pages, blog posts or PDFs and setting up redirects so you keep your search traffic.
Ongoing costs to budget for
The launch price is only part of the cost. Ask every vendor to put these in writing:
- Domain renewal. Paid every year to a registrar. Cheap, but if it lapses your email and website can go down together.
- Hosting and security. Includes HTTPS certificates, backups and software updates. Ask what is included and how fast they respond if the site goes down.
- Content updates. Payment amounts change every year, staff leave, jobs open and close, and your notices need review. Decide whether you will make these changes yourself or pay someone, and get the rate in writing.
- Accessibility upkeep. Every new page, PDF and video needs to stay accessible. A site that passed at launch can fail a year later.
- Email, forms and tools. Form services, applicant tracking, review platforms and scheduling tools often carry their own monthly fees.
Accessibility deserves a note on timing. The Department of Health and Human Services' Section 504 rule requires recipients of HHS financial assistance to make their web content conform to WCAG 2.1 Level AA. In May 2026 HHS extended the compliance dates to May 11, 2027 for recipients with 15 or more employees and May 10, 2028 for smaller ones. If your nursing home or agency is owned by a county, hospital district or other public entity, the Department of Justice's ADA Title II web rule also applies, with compliance dates of April 26, 2027 or April 26, 2028 depending on population served. The extensions changed the dates, not the standard. Ask your counsel whether either rule applies to you, and budget for accessibility as part of the build rather than a later project. This is not legal advice.
Red flags in a website contract
Most problems with care provider websites are not about design. They are about ownership and exit. Read the contract for these before you sign:
- The vendor registers the domain in its own name. Your organization should be the registrant. ICANN's registrant benefits page says the registrant assumes sole responsibility for the registration and use of the domain, so make sure that registrant is you, with your own email address on the account.
- No clear answer on who owns the site. The contract should say you own your content, photos and logo, and spell out what you get if you leave: a copy of the site files, an export of your content, or nothing. "Nothing" is common with rented-site models and is a valid choice only if you understand it going in.
- Long terms with automatic renewal and early termination fees, especially when the monthly fee bundles the design cost so you never actually finish paying for it.
- No access for you. You should have your own login to the domain registrar, the hosting or site editor, Google Business Profile, Google Search Console and analytics, not just the vendor.
- Vague accessibility promises. "ADA compliant" with no named standard, no testing method and no fix-it commitment. Ask which WCAG version and level, and how they test.
- An overlay widget sold as the accessibility solution. A toolbar does not fix inaccessible code. Ask what they do in the code itself.
- Forms that collect health information with no mention of how that data is stored, who can see it, or whether the vendor will sign a business associate agreement when one is needed.
How to get your domain back if you need to
If a past vendor holds your domain, you can usually fix it. ICANN's guidance for domain name holders explains the main steps. To move a domain to another registrar you need an Auth-Code (transfer code), and once you request it, the registrar has five calendar days to provide it. A registrar may refuse a transfer within 60 days of the initial registration or a previous transfer, and changing the registrant's name, organization or email can trigger a 60-day transfer lock. A change of registrant, giving the domain to a new holder, is started with the current registrar and confirmed by the current holder.
In practice, start by getting the vendor to change the registrant to your organization, then move it to an account you control when you are ready. Do it before you are in a dispute, not during one.
Questions to ask every vendor
Put the same questions to everyone, in writing, so you are comparing like for like.
- What is the total cost for the first year, and for each year after?
- Who writes the content, and who reviews it for accuracy?
- Whose name is on the domain registration?
- What exactly do we take with us if we leave?
- Which WCAG version and level do you build to, and how do you test it?
- How do you handle forms that might collect health information?
- How much does it cost to add a page or update the payment page each year?
- Can we see three live sites you built for care providers, and talk to one of those clients?
Checklist
- Domain registered in your organization's name, with your own login.
- Contract states you own your content, photos and logo.
- Exit terms written down: what files or exports you get.
- First-year and ongoing costs listed separately.
- Named accessibility standard (WCAG 2.1 or 2.2 AA) and testing method.
- Plan and price for annual content updates.
- Your own access to hosting, Search Console, analytics and Google Business Profile.
- Any health information in forms handled under a compliance-approved setup.
Questions
Is a do-it-yourself website builder good enough for a care provider?
It can be for a small home or new agency with someone on staff who has the time and skill. The cost is mostly staff hours. Watch accessibility, speed and accuracy, which are harder to get right without experience.
Who should own our domain name?
Your organization, as the registrant, with an account you control. A vendor can manage it on your behalf, but the registration should be in your name so you can leave without losing your address or email.
Do we have to meet web accessibility standards?
It depends on how you are funded and owned. HHS's Section 504 rule covers recipients of HHS financial assistance, and the DOJ Title II rule covers state and local government entities, both with WCAG 2.1 AA as the standard and compliance dates in 2027 or 2028. Ask your counsel which applies to you.
Why do some proposals cost so much more than others?
Usually because of what is included: writing, photography, accessibility testing, migration and ongoing updates. Ask each vendor to itemize those so you can compare.
Sources
- BLS Occupational Outlook Handbook: Web developers and digital designers
- Federal Register: HHS extension of compliance dates for Section 504 web and mobile accessibility (May 11, 2026)
- ADA.gov: Fact sheet on the Title II web and mobile accessibility rule
- ICANN: Registrant benefits and responsibilities
- ICANN: FAQs for domain name holders
This guide is general information, not legal advice. Confirm regulatory and legal questions with your compliance officer or counsel.

