A piezoelectric ceramic composition in which the dielectric constant, the mechanical quality factor Qm and the electromechanical coupling factor Kp are superior, and a high power output piezoelectric transformer made of it are disclosed. The piezoelectric ceramic composition according to the present invention is composed of Pb[(Sb1/2Nb1/2)x(Zr0.495Ti0.505)1−x]O3+yPbO+zMnO, where x is 0.01-0.05 mol %, y is 0.03-0.6 wt %, and z is 0.7 wt % or less. The piezoelectric transformer according to the present invention includes: a piezoelectric block composed of the same composition; a first electrode consists of an inner electrode and an outer electrode, the inner electrode being formed at the center of the top of the piezoelectric block, and the outer electrode being formed around the inner electrode by being separated by an isolating region; and a second electrode is formed on the bottom of the piezoelectric block.