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Invoices

INVOICE

MP-202604-0006

TransMedics (OCS)Southwest Transplant Alliance

approved

FINANCIALS

Amount$8,500.00
Platform Fee-$106.25
Net Payout$8,393.75

CMS CLASSIFICATION

Cost Center

Organ Acquisition

Worksheet / Line

A / 00800

Description

Medical Supplies — preservation solutions, perfusion

TIMELINE

Created4/6/2026
Submitted4/2/2026
Approved4/4/2026
Organ Typekidney
Case IDDC-2026-0412

LINE ITEMS

DESCRIPTIONQTYUNIT PRICEAMOUNT
LifePort kidney transporter rental1$6,000.00$6,000.00
KPS-1 perfusion solution2$1,250.00$2,500.00