Ask your agency for cost per signed case.
If they can only give you cost per lead, they have never seen past the form fill.
We build case acquisition for firms that take birth injury and birth trauma. We measure it to the signed, viable case — then to the case that survives medical review. Our pricing is published. Our data is public. Our methodology is on the site, including the parts that do not flatter us.
No email required for any tool on this site. The full result appears on screen first.
Start here, free, no email
- Cost per signed case model — puts your real spend through birth injury conversion economics.
- Firm site audit — a scored, sourced, prioritised read of your own site.
- Screening capacity planner — how many inquiries your team can actually review.
- Market intelligence — births, delivery capacity and legal capacity for all 3,144 counties.
- Our prices — three bands, and the arithmetic behind each.
The one number your reporting is missing
Cost per lead is a vanity metric in a case type where most inquiries are not viable claims and reviewing records costs real money whether or not a case results.
Screening capacity is the constraint
Not lead volume. A campaign that delivers more inquiries than a firm can review destroys value — it consumes intake hours, ages the good inquiries in the queue, and produces exactly the same number of signed cases. We size the campaign to the review capacity, then grow the capacity deliberately. Model yours.
The minor statute changes the market
In most states the limitations period for a child’s claim runs differently from an adult’s. A birth years in the past can still be a live matter today. That single fact reshapes keyword intent, audience targeting and the entire content calendar — and it is why this practice area cannot be run on a personal-injury playbook. How we build around it.
Referral economics are central, not incidental
Many firms screen and refer out; many take referrals in. Whether a given inquiry should be retained, co-counselled or referred is an economic question with a defensible answer, and almost nobody models it. Model it here, or read the playbook.
We built the market intelligence first, and published all of it
Birth injury is a personal injury case type we had not run. So rather than claim it, we assembled the federal data for it — every county in the United States — and put it on the site, free, for anyone including our competitors.
- Counties, all figures joined
- 3,144Census, CBP and CMS, joined at county level
- Births, 2024
- 3,605,563Census Bureau
- Hospitals confirmed to deliver babies
- 2,357plus 971 whose status CMS does not report
- Hospital obstetric outcome scores CMS published for 2024
- 0across all 4,426 reporting hospitals
Three things this data does not know
1. It does not know a single hospital’s obstetric complication rate. Not one. CMS withheld all 4,426 of them for 2024. We could have coloured a map using whichever components happened to be published and nobody would have checked. We left it empty instead, because a map that fills its own gaps is worse than no map.
2. It does not know whether 971 hospitals deliver babies. CMS reports "Not Available" for their structural measure. Those are hatched everywhere they appear. They are not zero and they are not estimated from neighbouring facilities.
3. It does not know anything about litigation. The National Practitioner Data Bank public use file — malpractice payments by state and allegation group — is the highest-value dataset for this market, and we do not have it yet, because it sits behind a form. The methodology page says so, and the malpractice page ships incomplete rather than filled with something else.
Birth injury is not workers’ compensation with different keywords
| Variable | High-volume case type | Birth injury / birth trauma |
|---|---|---|
| Case volume | Very high | Very low |
| Case value | Low to moderate | Extremely high — lifetime-care damages |
| Rational cost per inquiry | Tens of dollars | Orders of magnitude higher, and still rational |
| Screening cost per inquiry | Near zero | High — records review, often clinical review |
| Inquiry → signed case | Moderate and stable | Very low and variable; most inquiries are not viable claims |
| Time to resolution | Months | Years |
| Limitations period | Short, adult | Often runs differently for a minor — a birth years ago can be a live matter |
| Referral / co-counsel role | Minor | Central |
| Competitive intensity of paid search | Moderate | Among the most expensive keywords in paid search |
| Buyer sophistication | Mixed | High — these partners are numerate and have been sold to before |
What we can prove, and what we cannot
Proof status
There are no performance statistics on this page, and that is deliberate. Our documented results are in personal injury — leads generated, and the clients firms actually retained off them. Those figures are held in platform data, invoices and CRM exports, and they go up here the day they are reconciled, exactly, with the timeframe and the conversion rate between them. Not "thousands." The number.
In birth injury specifically we have no results, because we have taken no birth injury client. The results page says so in those words rather than showing you three composites.
What we publish
- Personal injury results, traced end to end: spend in, inquiries out, clients the firms actually signed. Labelled as personal injury, because that is what they are.
- Every price we charge, with the cost structure behind it.
- Every dataset we use, with its vintage, its joins, and what it cannot support.
- A dated corrections log, whether or not a correction flatters us.
What you will not find here
- Birth-injury-specific case results. We have none. When there is one, it goes up in forensic detail.
- Composite, illustrative or anonymised case studies. One real result beats three of those.
- A law firm client count. It is unconfirmed, so it is not published, and no sentence here lets you infer it.
- Any statement about what a case is worth, or any advice to an injured family. We are a marketing agency, not a law firm.
Seven service lines, priced on the site
Every competitor in this category answers "what does it cost" with "it depends." Here are the numbers, and the conditions under which each band is the wrong choice for you.
- Foundation
- $8,000/moone channel run properly + intake instrumentation; ad spend at cost
- Growth
- $18,000/momulti-channel, screening support, full attribution to signed case
- Market Leader
- $35,000/momulti-market, co-counsel development, dedicated pod
Read the free material before you talk to us
Eight full-length publications, on-page, ungated, no email. Seven tools that show their arithmetic. An intelligence layer covering every county in the country. If it is good enough that a firm could run its own acquisition programme on it without hiring us — and it is — we published it anyway.
Book a call
Thirty minutes. Before it, you tell us firm size, current spend, case mix and screening capacity, so the call starts at minute three instead of minute twelve. If we do not think we can improve your cost per signed case, we will say so on the call rather than send a proposal.
Cite this analysis
Free to reproduce with attribution, including commercially. Charts may be embedded as published.
Birth Injury Marketing. “What CMS publishes about obstetric outcomes in 2024.” 24 August 2026. https://birthinjurymarketing.com/intelligence/outcomes/
Journalists and researchers: we will cut this data to your specification — by state, by county, by hospital, by year — and send the underlying CSV, free and without conditions. Ask for a custom cut. We will also tell you what the data cannot support.