Kidney Transplant Referral Tracker

A kidney transplant is the best medical outcome for most dialysis patients. But not every clinic refers patients for transplant evaluation at the same rate. This tracker shows transplant referral and waitlist data for every Medicare-certified dialysis facility in the United States.

The financial conflict of interest

Dialysis is a recurring revenue stream — patients typically come in three times a week, every week, for years. A successful kidney transplant ends that revenue stream permanently. Researchers have documented that when large chains acquire independent clinics, transplant referral rates drop by approximately 10%.

This does not mean every chain-owned clinic suppresses transplant referrals. But the systemic pattern is clear enough that the FTC, the US Senate, CBS News, and peer-reviewed JAMA studies have all investigated it. The data below lets you see for yourself.

Average Transplant Referral Rate by Chain

DaVita

1%

avg referral rate

Fresenius

1%

avg referral rate

Independent

1%

avg referral rate

Highest Transplant Referral Rates

Facilities with the highest percentage of patients referred for kidney transplant evaluation.

Lowest Transplant Referral Rates

Facilities with the lowest percentage of patients referred for kidney transplant evaluation.

Browse Transplant Data by State