E M E R G E N C Y
How to Visit a Hospital as a Tourist in Japan
Complete guide: when to go to hospital vs clinic, finding English-speaking doctors, costs without insurance, what to bring, and emergency numbers.
Quick Answer
- Emergency (life-threatening): Call 119 for ambulance (FREE)
- English-speaking hospitals: St. Luke’s, Tokyo Medical & Surgical Clinic, Sanno Hospital
- What to bring: Passport, cash (¥10,000-¥20,000), travel insurance card
- Typical cost without insurance: ¥10,000-¥15,000 for consultation + tests
- Pharmacy: Prescription (処方箋) needed for most medications — usually next door to clinic
- Tourist hotline: 050-3816-2787 (English, 24/7, medical interpretation)
When to Go Where
Emergency Room (救急 Kyūkyū) — Life-Threatening
Call 119 for ambulance if:
- Severe chest pain
- Difficulty breathing
- Unconscious or unresponsive
- Severe bleeding
- Suspected stroke (facial drooping, arm weakness, speech difficulty)
- Severe allergic reaction
- Major injury (broken bones, head trauma)
Ambulance is FREE in Japan. No charge for the ride or emergency treatment.
What to say when calling 119: “Kyūkyū desu. Eigo hanasemasu ka?” (救急です。英語話せますか?) “Emergency. Do you speak English?”
They’ll ask:
- Your location
- What happened
- Patient’s condition
If you can’t speak Japanese: Stay calm. Say “English” repeatedly. They’ll connect you to an interpreter.
Hospital (病院 Byōin) — Serious but Not Life-Threatening
Go to a hospital for:
- High fever (over 39°C) with severe symptoms
- Severe pain (abdominal, back, etc.)
- Suspected fracture
- Deep cuts needing stitches
- Severe vomiting or diarrhea with dehydration
- Chest pain (not severe enough for ambulance)
Hospitals have:
- Emergency departments
- Specialists
- X-ray, CT, MRI
- Inpatient facilities
Cost: ¥10,000-¥30,000+ depending on tests and treatment
Clinic (クリニック Kurinikku) — Minor Issues
Go to a clinic for:
- Common cold, flu
- Mild fever
- Sore throat
- Rash or skin irritation
- Minor cuts or burns
- Upset stomach
- Headache
- Allergies
Clinics are:
- Smaller, faster
- Cheaper (¥5,000-¥10,000)
- Walk-in or appointment
- Usually close by 18:00-19:00
Cost: ¥5,000-¥10,000 for consultation + medication
Pharmacy (薬局 Yakkyoku) — Over-the-Counter Only
Go to a pharmacy for:
- Pain relievers (headache, muscle pain)
- Cold medicine
- Stomach medicine
- Antihistamines (allergies)
- Band-aids, first aid supplies
You CANNOT get:
- Antibiotics (need prescription)
- Strong pain medication (need prescription)
- Most prescription drugs from your home country
Major pharmacy chains:
- Matsumoto Kiyoshi (マツモトキヨシ) — everywhere, some English
- Welcia (ウエルシア) — large selection
- Sugi Pharmacy (スギ薬局) — common in Tokyo
Pharmacists speak limited English, but packaging often has English labels.
Finding English-Speaking Hospitals in Tokyo
St. Luke’s International Hospital (聖路加国際病院)
Best for: Comprehensive care, high English proficiency
- Address: 9-1 Akashi-cho, Chuo-ku, Tokyo 104-8560 (中央区明石町9-1)
- Phone: 03-5550-7166 (International Patient Services)
- Nearest Station: Tsukiji Station (Hibiya Line, Exit 3a) — 7 min walk
- Hours: Outpatient 8:30-11:00 (registration), Emergency 24/7
- Languages: English, Chinese, Spanish
- Specialties: General medicine, surgery, obstetrics, pediatrics
- Accreditation: JCI (Joint Commission International)
Cost estimate: ¥15,000-¥25,000 for initial consultation + tests
Notes: Highly regarded, popular with expats. Can be crowded. Bring cash or credit card.
Tokyo Medical and Surgical Clinic (TMSC)
Best for: Primary care, walk-ins, English-speaking doctors
- Address: 32 Shiba Koen Building 2F, 3-4-30 Shiba, Minato-ku (港区芝3-4-30)
- Phone: 03-3436-3028
- Nearest Station: Onarimon Station (Mita Line) — 3 min walk
- Hours: Mon-Fri 9:00-13:00, 14:00-17:00 | Sat 9:00-13:00
- Languages: English (native English-speaking doctors from US, UK, Australia)
- Specialties: Primary care, pediatrics, women’s health, dermatology, sports medicine
Cost estimate: ¥10,000-¥18,000 for consultation
Notes: Very popular with tourists and expats. Book online or call ahead. Accepts credit cards.
Sanno Hospital (山王病院)
Best for: Comprehensive hospital care, English support
- Address: 8-10-16 Akasaka, Minato-ku, Tokyo (港区赤坂8-10-16)
- Phone: 03-3402-3151
- Nearest Station: Aoyama-Itchome Station (Exit 4) — 5 min walk
- Hours: Outpatient 8:30-11:30 (registration), Emergency 24/7
- Languages: English, Chinese
- Specialties: General medicine, surgery, cardiology, obstetrics
Cost estimate: ¥12,000-¥20,000 for consultation + tests
Notes: Part of International University of Health and Welfare. Good for complex cases.
American Clinic Tokyo
Best for: American-style primary care
- Address: 1-7-8 Akasaka, Minato-ku (港区赤坂1-7-8)
- Phone: 03-6441-0969
- Nearest Station: Tameike-Sanno Station — 3 min walk
- Hours: Mon-Fri 9:00-12:30, 14:00-17:30 | Sat 9:00-12:30
- Languages: English (American doctors)
- Specialties: Primary care, pediatrics, vaccinations
Cost estimate: ¥15,000-¥20,000
Notes: Familiar to Americans. Accepts some U.S. insurance (check first).
Tokyo Saiseikai Central Hospital
Best for: Emergency care, comprehensive services
- Address: 1-4-17 Mita, Minato-ku (港区三田1-4-17)
- Phone: 03-3451-8211
- Nearest Station: Mita Station (Exit A9) — 3 min walk
- Hours: Emergency 24/7
- Languages: English (limited, interpretation available)
Cost estimate: ¥10,000-¥25,000
Notes: Large hospital. English support varies by department.
What to Bring
Essential
- Passport — Required for registration (foreign patients)
- Cash — ¥10,000-¥20,000 minimum
- Many hospitals don’t accept credit cards for outpatient visits
- ATMs may not work with foreign cards
- Travel insurance card — If you have it
- Bring policy number and emergency contact
- Most Japanese hospitals require upfront payment, then you claim reimbursement
Helpful
- List of medications — Write down what you’re taking (name, dosage)
- Allergy information — Drug allergies, food allergies
- Medical history — Major conditions, surgeries
- Symptom notes — When symptoms started, severity (1-10 scale)
- Hotel card — For address (if they need to contact you)
Translation Help
- Translation app — Google Translate works offline if you download Japanese
- Symptom cards — Print or screenshot common phrases (see below)
The Hospital Visit Process
Step 1: Registration (受付 Uketsuke)
At the reception desk:
- Show your passport
- Fill out registration form (often has English version)
- Name, date of birth, address (hotel is fine)
- Symptoms
- Insurance information
- Pay registration fee (¥2,000-¥5,000)
They’ll give you:
- Patient card (診察券 shinsatsu-ken)
- Number or pager
- Estimated wait time
Step 2: Wait
Waiting room:
- Can be 30 minutes to 2 hours
- Your number will be called (watch the screen)
- Bring a book or phone charger
If you don’t understand the announcement:
- Watch for your number on the screen
- Ask staff: “Watashi no ban desu ka?” (私の番ですか?) “Is it my turn?”
Step 3: Consultation (診察 Shinsatsu)
Doctor will:
- Ask about symptoms
- Examine you (blood pressure, temperature, listen to chest, etc.)
- Order tests if needed (blood test, X-ray, etc.)
- Diagnose
- Prescribe medication or treatment
If doctor doesn’t speak English:
- Hospital may provide interpreter (ask at reception)
- Use translation app
- Point to symptom cards
Tests happen same day — you’ll wait for results (30 min - 2 hours).
Step 4: Payment (会計 Kaikei)
After consultation:
- Go to payment counter (会計 kaikei)
- Wait for your number to be called
- Receive itemized bill
- Pay (cash or credit card if accepted)
- Get receipt for insurance claim
Bill includes:
- Consultation fee (初診料 shoshin-ryō): ¥3,000-¥5,000
- Tests (検査 kensa): ¥2,000-¥10,000+
- Treatment (処置 shochi): varies
- Medication (薬 kusuri): ¥1,000-¥5,000
Step 5: Pharmacy (薬局 Yakkyoku)
If you received a prescription (処方箋 shohōsen):
- Take prescription to pharmacy (usually next door or nearby)
- Give prescription to pharmacist
- Wait (10-20 minutes)
- Receive medication with instructions
- Pay (separate from hospital bill)
Pharmacist will explain:
- How to take medication (dosage, timing)
- Side effects
- Duration
Instructions are often in Japanese. Ask for English explanation or use translation app.
Costs Without Insurance
Typical Costs (Self-Pay)
| Service | Cost |
|---|---|
| Initial consultation (first visit) | ¥3,000-¥5,000 |
| Follow-up consultation | ¥2,000-¥3,000 |
| Blood test | ¥3,000-¥8,000 |
| X-ray | ¥3,000-¥6,000 |
| CT scan | ¥15,000-¥30,000 |
| MRI | ¥25,000-¥50,000 |
| Prescription medication (3-7 days) | ¥1,000-¥5,000 |
| Emergency room visit | ¥10,000-¥20,000 |
| Ambulance | FREE |
Example Scenarios
Common cold:
- Consultation: ¥4,000
- Medication: ¥2,000
- Total: ¥6,000
Stomach pain with tests:
- Consultation: ¥5,000
- Blood test: ¥5,000
- Medication: ¥3,000
- Total: ¥13,000
Suspected fracture:
- Consultation: ¥5,000
- X-ray: ¥5,000
- Cast/splint: ¥8,000
- Total: ¥18,000
Without Japanese insurance, you pay 100% of costs. Japanese residents pay 30% (insurance covers 70%).
Travel Insurance Claims
Most Japanese hospitals require upfront payment, then you claim reimbursement from your travel insurance.
How to claim:
- Keep all receipts — itemized bills, pharmacy receipts
- Get medical certificate — ask hospital for 診断書 (shindansho) if insurance requires it (may cost ¥3,000-¥5,000)
- Submit claim — follow your insurance company’s process
- Wait for reimbursement — usually 2-4 weeks
Some insurance companies have direct billing agreements with major hospitals. Call your insurance before visiting to check.
Emergency Numbers
| Service | Number | Notes |
|---|---|---|
| Ambulance | 119 | FREE, say “Kyūkyū” (救急) |
| Police | 110 | For crimes, accidents |
| JNTO Tourist Hotline | 050-3816-2787 | English, 24/7, medical interpretation |
| AMDA Medical Information Center | 03-5285-8088 | English, Mon-Fri 9:00-17:00, medical advice |
| Tokyo Metropolitan Health and Medical Information Center | 03-5285-8181 | English, 24/7, hospital referrals |
Useful Phrases
| English | Japanese | Pronunciation |
|---|---|---|
| I need a doctor | 医者が必要です | Isha ga hitsuyō desu |
| I have a fever | 熱があります | Netsu ga arimasu |
| I have pain here | ここが痛いです | Koko ga itai desu |
| I feel nauseous | 吐き気がします | Hakike ga shimasu |
| I have diarrhea | 下痢をしています | Geri o shite imasu |
| I’m allergic to… | …にアレルギーがあります | …ni arerugī ga arimasu |
| Do you speak English? | 英語を話せますか? | Eigo o hanasemasu ka? |
| How much does it cost? | いくらですか? | Ikura desu ka? |
| I need a receipt | 領収書をください | Ryōshūsho o kudasai |
Troubleshooting
| Problem | Cause | Solution |
|---|---|---|
| Hospital won’t accept credit card | Many don’t for outpatient | Find ATM (7-Eleven, post office) or ask if nearby hospital accepts cards |
| Can’t communicate with doctor | No English-speaking staff | Call JNTO hotline (050-3816-2787) for phone interpretation |
| Bill is very high | Tests and procedures add up | Ask for itemized bill, check if travel insurance covers it |
| Pharmacy won’t fill foreign prescription | Japanese law requires Japanese prescription | See a Japanese doctor to get new prescription |
| Don’t have enough cash | Underestimated costs | Ask hospital if they accept credit card, or find ATM before paying |
| Wait time is 3+ hours | Hospital is crowded | Ask reception for estimate, consider going to a clinic instead |
| Need medication refill | Running out of prescription from home | See a doctor for new prescription — bring your medication bottle |
FAQ
Q: Do I need travel insurance to visit a hospital?
A: No, but you’ll pay full cost without it (¥10,000-¥30,000+). Travel insurance is highly recommended.
Q: Can I use my home country’s health insurance?
A: Usually no. Most Japanese hospitals require upfront payment. You claim reimbursement from your insurance later.
Q: Will the hospital bill my insurance directly?
A: Rarely. Most require you to pay, then you submit a claim. Some major hospitals have agreements with certain insurers — call ahead.
Q: Can I get antibiotics without seeing a doctor?
A: No. Japan requires prescriptions for antibiotics. You must see a doctor.
Q: What if I can’t afford the hospital bill?
A: Hospitals may offer payment plans. Explain your situation. Contact your embassy if you need emergency financial assistance.
Q: Can I bring my own medication from home?
A: Yes, for personal use (up to 1 month supply for most medications). Bring prescription or doctor’s note. Some medications are restricted — check Japan Customs website.
Q: Do hospitals accept foreign credit cards?
A: Some do (Visa, Mastercard), but many outpatient departments are cash-only. Call ahead to confirm.
Q: How do I know if I need an ambulance or can take a taxi?
A: If it’s life-threatening (chest pain, difficulty breathing, severe bleeding), call 119. If you can walk and talk, a taxi to the hospital is fine.
Last verified: February 2026