비급여수가표 비급여수가표 PDZ010000일반진단서10,000 일반소견서5,000 PDZ020001상해진단서(3주미만)100,000 PDZ020002상해진단서(3주이상)150,000 PDZ090007진료확인서1,000 PDZ110101진료기록사본(초진기록지)장당 1,000 PDZ110004CD copy5,000 PDZ070001장애진단서100,000