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Invoices

INVOICE

MP-202604-0007

Southwest Surgical AssociatesSouthwest Transplant Alliance

approved

FINANCIALS

Amount$12,000.00
Platform Fee-$150.00
Net Payout$11,850.00

CMS CLASSIFICATION

Cost Center

Organ Acquisition

Worksheet / Line

A / 00500

Description

Surgical Team — recovery surgeon fees

TIMELINE

Created4/6/2026
Submitted4/3/2026
Approved4/5/2026
Organ Typeheart
Case IDDC-2026-0412

LINE ITEMS

DESCRIPTIONQTYUNIT PRICEAMOUNT
Lead recovery surgeon1$8,000.00$8,000.00
First surgical assistant1$4,000.00$4,000.00