The sticker price of GoHighLevel for med spas is $97 to $497 a month, but a clinic that handles client health information pays more than that. HighLevel's HIPAA add-on is a separate $297 a month, and texting is billed on top. Knowing that before you build anything saves a nasty surprise on the first invoice.
What you get for the money is a booking calendar, a CRM and a workflow builder in one place, so a booking can trigger reminders, follow-ups and review requests without front-desk effort.
What GoHighLevel automates for a med spa
It automates the messages that surround an appointment: the confirmation, the reminders, the follow-up survey and the review request. HighLevel's own documentation describes a workflow trigger that fires when a customer books through a booking link, with no one on your team involved.
From that trigger you chain actions: send an email, send a text, drop a voicemail. Each action can wait a set time before it runs.
Our existing piece on how GoHighLevel appointment booking saves time covers the calendar side in more detail.
Reminders that cut no-shows
Set reminders at more than one interval. HighLevel's guide to appointment reminders by email, text or voicemail drop gives 48 hours and 24 hours before the visit as an example, built by adding several reminder actions to one workflow with different waits.
There are two ways to do it. The simple route is the reminder settings on the calendar itself. The flexible route is a workflow, which lets you vary the message by treatment.
A caution: that same page claims reminders help increase show-up rates but offers no figures or research behind it. Treat reminders as sensible practice, and measure your own no-show rate before and after rather than trusting a vendor's promise.
Follow-ups after the treatment
The post-visit sequence is where a med spa gets the most from automation, because the work happens when the front desk is busiest. HighLevel's documentation describes automated appointment follow-up surveys that ask what happened with the appointment, followed by a review request when the visit went well.
Sending the review request only after a visit went well keeps it from landing on someone who had a bad experience. We walk through the review half in automating review collection with GoHighLevel.
Rebooking messages follow the same pattern: a wait, a text, and a link back to the calendar. Write them per treatment, since a client who just had a facial and one who just had a filler appointment need different next steps.
What GoHighLevel really costs a med spa
Budget for three layers: the plan, the HIPAA add-on if you need it, and usage. The plan prices come from HighLevel's pricing page.
| Item | Price | What it buys |
|---|---|---|
| Starter | $97/month | 3 sub-accounts, unlimited contacts and users |
| Unlimited | $297/month | Unlimited sub-accounts, contacts and users |
| Agency Pro | $497/month | Adds SaaS Mode |
| HIPAA add-on | $297/month | Encryption of health data, a signed BAA, MFA, audit logging |
Usage is billed on top. According to HighLevel's pricing and billing guide, email costs $0.675 per 1,000 sends, SMS follows Twilio rates by segment, and premium workflow actions cost $0.01 per execution. AI features are priced separately, from pay-per-use to $97 a month per location.
Those charges draw from a wallet that refills from your card automatically. A single-location med spa will rarely need more than Starter, so the HIPAA add-on is usually the largest line on the bill.
HIPAA: do you need the add-on?

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If you store or text anything that counts as protected health information, you need it. HighLevel's HIPAA compliance article states that accounts are not HIPAA compliant by default, and that the add-on covers contacts, notes, SMS, email, forms, calendars and invoices.
Two details deserve attention before you buy. Once enabled, the add-on cannot be canceled, refunded, removed or downgraded. And after you sign the BAA, you must still switch HIPAA on for each sub-account in Advanced Settings.
Whether your particular messages and intake forms cross the line is a question for your compliance advisor, not a software vendor. The documentation also doesn't address how third-party integrations behave under the add-on, so check that before connecting anything.
Which workflows to build first
Start with the booking confirmation and two reminders, since every client touches them. Add the post-visit survey and review request second. Rebooking and membership messages come last, once you have real appointment data to base them on.
Resist building ten automations in week one. Each text costs money and each branch is something that can misfire at a client, so launch small, read the first month of messages, then expand.
If you'd rather not wire it up yourself, our AI and automation service covers CRM and workflow builds, and the overview of AI automation and CRM in GoHighLevel shows what the platform's AI side adds.
Frequently asked questions
Is there a free trial?
Yes. HighLevel's pricing page advertises a 14-day free trial with full access to the chosen tier's features.
Do I pay per contact or per user?
No. Every plan lists unlimited contacts and unlimited users, so cost grows with usage such as texts and AI rather than with your client list.
Can I turn the HIPAA add-on off later?
No. HighLevel's documentation says it cannot be canceled, refunded, removed or downgraded once enabled, so decide before you buy.
Sources
- HighLevel Pricing Plans — HighLevel
- HIPAA Compliance in HighLevel — HighLevel Support Portal





























