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Invoices

INVOICE

MP-202604-0002

MedTrans Ground ServicesSouthwest Transplant Alliance

paid

FINANCIALS

Amount$1,200.00
Platform Fee-$15.00
Net Payout$1,185.00

CMS CLASSIFICATION

Cost Center

Organ Acquisition

Worksheet / Line

A / 01000

Description

Travel & Transportation — ground ambulance, courier

TIMELINE

Created4/6/2026
Submitted4/1/2026
Approved4/2/2026
Paid4/3/2026
Organ Typekidney
Case IDDC-2026-0412

LINE ITEMS

DESCRIPTIONQTYUNIT PRICEAMOUNT
ALS ambulance transport with perfusion monitoring1$950.00$950.00
Organ preservation container handling1$250.00$250.00