The Children’s Organ Transplant Association (COTA) helps U.S. transplant families avoid financial ruin. Transplant procedure costs range from $100,000 to more than $800,000. Once the transplant is complete, families face significant transplant-related expenses, including medication; transportation to and from the center; lodging; and expenses while parents are out of work and often living with the hospitalized child far from home. These out-of-pocket expenses add up to tens of thousands of dollars annually for transplant families with lifetime totals exceeding $1,000,000. In cases where a shortfall exists, COTA helps bridge the financial gap.