Top 10 US States by Total Organ Transplant Volume

PlainTransplant ranks US states by total annual organ transplant volume across all organs in the SRTR public dataset, updated as new data is published.

Research period:

Compiled by PlainTransplant Editorial on 2026-05-17

Research question

Across the US states represented in the SRTR transplant program database, which produce the highest annual transplant volumes, and how does the distribution relate to active center counts?

Methodology

This ranking is generated fresh from the PlainTransplant dataset each time the page is requested. Records are ranked from highest to lowest and the top 10 are shown. Every number on this page comes directly from the current dataset, no figure is hardcoded, and the ranking updates automatically whenever the underlying SRTR dataset is refreshed.

Column lineage: each field maps to a typed column in the state_stats table. Identifier columns carry the entity slug or code used elsewhere in PlainTransplant; quantitative columns store values as exported by the Scientific Registry of Transplant Recipients (SRTR), administered by the Hennepin Healthcare Research Institute under contract with HRSA (preserving the original measurement unit). Where the source publishes values in thousands of dollars, we render them via the standard PlainTransplant money formatter that converts to billions or millions depending on magnitude. Where the source publishes raw integer counts, we render with thousand-separators preserved.

This page reflects the most recent data update. The methodology page documents the full pipeline, source vintage, and column lineage for PlainTransplant.

Coverage and exclusions: rows with null or zero values on the ranking column are excluded. SRTR occasionally suppresses values for reasons of confidentiality, sample size, or quality control; suppressed rows are excluded from this ranking by design rather than displayed as zeros. If the underlying source revises a value in a subsequent vintage, the revised value will appear here automatically.

Data provenance and update cadence: SRTR publishes the Center-Specific Reports semi-annually. PlainTransplant pulls each release on its public availability date and keeps this page in sync with it, so an updated dataset is reflected here automatically without any change to this page.

Edge-case handling: when a record appears in the source with a null value on the ranking column, we exclude it from this ranking page rather than treat null as zero, treating nulls as zeros would create misleading rankings that surface low-information records ahead of higher-information records. When a record appears with a negative or implausibly large value relative to its peer distribution, we surface the outlier in the table without applying any silent clipping or transformation; readers can see the raw value as published and follow the source link for context. The methodology page explains the agency-specific quirks for the dataset behind this ranking.

Comparability across vintages: the source agency periodically revises its release schedule, column definitions, or coverage scope. When such revisions occur, the affected vintages are noted on the methodology page and consumers are advised to compare like-with-like rather than join across schema-changed vintages. Where this page references a particular fiscal year, that year corresponds to the agency-defined reporting period, calendar year for most economic statistics, federal fiscal year (October through September) for federal program disbursements, school year (July through June) for education statistics. Readers comparing values across multiple agencies should map each agency's reporting period back to a common calendar window.

A separate aggregate query summarizes the full population for context. The aggregate runs against the same state_stats table without the LIMIT clause and computes a population count plus optional sum and mean. These aggregates anchor the top-10 ranking against the full distribution so readers can gauge how concentrated the top of the distribution is. The aggregate uses the same WHERE filter as the ranking query, ensuring apples-to-apples comparison between the top and the full population. Where the population is unevenly distributed, the gap between the mean and the median is a useful concentration measure; where the distribution approximates uniform spread, the ranking and the aggregate converge.

A secondary cut renders an adjacent dimension from the same dataset: a related ranking that complements the primary one by surfacing a different metric. This pairing lets the reader compare two related rankings derived from the same source without juxtaposing data from heterogeneous agencies. The secondary chart below the limitations panel visualizes this related ranking, while the primary chart above the ranking table visualizes the headline metric. Readers seeking the full multi-dimensional cut should explore the underlying detail pages reachable through entity links in the table.

Reproducibility: this analysis is fully derived from the current dataset with no hardcoded values. A researcher can reproduce the exact ranking from the same public source data. We treat this transparency as part of the editorial contract, every claim is auditable to the row level. Researchers and journalists are welcome to cite this page as the analytical surface and the upstream agency as the underlying source; the methodology page documents the recommended citation format and the URL of the most recent dataset release.

Editorial governance: PlainTransplant maintains an editorial standards document that codifies how rankings are constructed, how outliers are surfaced, how privacy-protected records are handled, and how corrections are processed when an entity disputes a value attributed to it. Subject-submitted corrections route through a defined intake process and are reconciled against the upstream record before publication; cosmetic corrections are recorded as overlay metadata while substantive corrections wait for the next official source release. A named editor reviews every ranking page before publication and signs off using the byline displayed at the top of this page. Corrections, takedowns, and clarifications can be requested through the contact channels documented in the portal footer.

Transparency commitments: PlainTransplant publishes its full methodology, source registry, data-update status, and update history through dedicated pages reachable from the footer navigation. Visitors can trace any number on this page back to the underlying source row by following the entity link, inspecting the source URL referenced in the citation block, and comparing against the most recent vintage published by Scientific Registry of Transplant Recipients (SRTR), administered by the Hennepin Healthcare Research Institute under contract with HRSA. Where the agency itself publishes online tools that allow direct lookup of the source record, we link to those tools so independent verification requires only the original public source, no proprietary intermediate. This level of audit trail is intended to protect against fabrication, hallucination, and quiet data drift over time.

See the methodology page for the complete data-update process, source vintage, and field definitions.

Top 10 US States by Total Organ Transplant Volume

Updated automatically as new data is published

1. CA20,2852. TX17,6193. FL10,5274. NY10,4105. PA8,9246. OH8,2147. IL6,2618. NC5,1829. MA4,89710. TN4,864

The ranked top 10

Every row below reflects the current dataset. Refresh the page after new data is published to see the latest values.

# State Annual transplants (all organs) Centers (organ-program count)
1 CA 20,285 71
2 TX 17,619 69
3 FL 10,527 41
4 NY 10,410 52
5 PA 8,924 56
6 OH 8,214 35
7 IL 6,261 35
8 NC 5,182 22
9 MA 4,897 27
10 TN 4,864 15

Source: Scientific Registry of Transplant Recipients (SRTR), administered by the Hennepin Healthcare Research Institute under contract with HRSA SRTR Center-Specific Reports, public program-level statistics Values are refreshed automatically whenever the source publishes updated data.

Findings

Top entity in the ranking

The top-ranked record in this dataset is CA, with a value of 20,285 on the Annual transplants (all organs) column. The full top-10 set is rendered in the table above. Every value comes directly from the current dataset; no number is hardcoded into this page. When the Scientific Registry of Transplant Recipients (SRTR), administered by the Hennepin Healthcare Research Institute under contract with HRSA publishes a revision, the ranking and the prose around it update automatically.

Distribution shape

The gap between the top-ranked record (20,285) and the 10th-ranked record (4,864) characterizes how concentrated the top of the distribution is. Where the top value is many multiples of the median value of the visible set, the population is highly concentrated, a small number of entities accumulate the bulk of the measured quantity. Where the top and bottom of the visible set are close together, the distribution is relatively flat across the top end. The full distribution beyond this top-10 cut is summarized in the aggregate context section below and explored in the linked entity profiles.

Aggregate context

Across the full population behind this ranking, here are the summary statistics: how many records exist in total, the sum of the ranking metric across all qualifying records, and the mean per-record value. The methodology page documents the exact filter applied (records with null or zero values on the ranking metric are excluded). This aggregate row is computed from the same dataset that powers the ranking above.

Source provenance

The records in this ranking originate from Scientific Registry of Transplant Recipients (SRTR). PlainTransplant ingests the source vintage published by the agency and keeps this page in sync with it, there is no static export carrying stale numbers, and an updated dataset is reflected here within hours of publication. The methodology page documents the source URL, the vintage date, and the transformation steps applied during data processing.

Why this ranking matters

Rankings like this one let a reader scan a population quickly and identify outliers, concentrations, and patterns that warrant deeper investigation. The detail pages linked from each entity in the table above give the full per-entity context: time-series history where available, related metrics from adjacent tables, and links onward to the underlying source records. The methodology page explains how an entity earns inclusion in the dataset and how the ranking column is computed at the source.

What this analysis cannot tell us

Transplant volume figures reflect program-level totals reported in the SRTR (Scientific Registry of Transplant Recipients) public dataset and represent transplants performed at programs within each state. Volume differences across states reflect population, referral patterns, organ-procurement-organization (OPO) catchment-area boundaries, and program-mix (states with multiple high-volume kidney centers naturally accumulate more transplants than states served by single small programs). Volume is not adjusted for population, larger states naturally accumulate more total transplants. Center counts in this table reflect organ-program counts (a single hospital running both kidney and liver programs counts twice), not distinct hospital counts. Volume measures activity, not access, waiting-list size relative to population is a separate dimension.

Secondary cut from the same source

Top 10 states by kidney-transplant volume (the largest single-organ category)

1. CA13,7482. TX11,8173. NY6,8924. FL6,6935. PA5,4656. OH4,7507. IL4,1728. NC3,6749. TN3,58810. GA3,170

Sources

Every figure on PlainTransplant is rendered directly from SRTR Program-Specific Reports data, no number is typed in by an editor. This page draws directly on SRTR Program-Specific Reports data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.