Cash, Cards, and Payment Fallbacks
How much cash to carry, which ATMs take foreign cards, hotel deposits, hidden restaurant fees, and the pay-first rule at hospitals — everything for when QR payments don't cut it.
Carry ¥500–1,000 in cash at all times, even with Alipay working perfectly. You'll need it for street vendors with personal QR codes, small-town taxis, temples, markets — and any moment your phone dies or a payment gets blocked. By law every merchant must accept RMB cash, though expect slow change-counting at places that haven't seen a banknote in weeks. Your physical Visa/Mastercard, by contrast, is nearly useless outside hotels, international hospitals, and big-city malls — don't count on swiping anywhere else.
Getting cash: ATMs beat exchange counters
| Item | What to expect |
|---|---|
| Best banks for foreign cards | Bank of China, ICBC — reliable, English menus, everywhere including airports |
| Per-withdrawal cap | ¥3,000 per transaction (regulatory); daily cap set by your home bank |
| Chinese ATM fee | ¥20–30 per withdrawal, plus whatever your home bank charges |
| Cheapest strategy | Withdraw the max ¥3,000 in one go to amortize the flat fee |
| Airport exchange counters | Worst rates — withdraw from an airport ATM instead |
| Card networks accepted | Visa, Mastercard, UnionPay, JCB, Amex at Bank of China ATMs |
Hotel deposits
Hotels hold a deposit at check-in: typically ¥200–500 for mid-range, ¥500–1,000 for luxury; budget hotels may ask for full prepayment instead. Late checkout usually runs ¥50–100 if not free.
- Pay the deposit by card hold, not cash — a card dispute is your leverage if the refund goes wrong
- Photograph the room, bathroom, and minibar at check-in AND checkout — "damage" claims are the classic deposit grab
- Minibar items can auto-charge sensors; check prices before touching anything
- Ask for an itemized bill at checkout and question any "renovation fee" or unexplained "service charge"
- If the hotel keeps your deposit unfairly: show your photos, ask for the manager (经理), dispute via your bank, and report through Trip.com/Booking.com if you booked there
Hidden restaurant charges
These line items are legal and common, not scams — but you can refuse most of them. Say "bù yòng" (不用, "don't need it") the moment items appear unrequested:
- Sealed wet towel: ¥1–3, charged once opened
- Auto-poured tea (茶位费): ¥5–15 per person, common in Cantonese restaurants — ask for free tea or water instead
- Unrequested appetizers (小菜): ¥8–20 each — wave them away immediately
- Wrapped utensil sets (餐具费): ¥1–5, often mandatory
- Rice is rarely included at sit-down places: ¥2–3 per bowl, ordered separately
- Private rooms carry a minimum spend (包间最低消费) of ¥200–2,000+ — sit in the main hall, or ask "yǒu zuì dī xiāofèi ma?" (有最低消费吗) before sitting down
Don't tip. It's not expected anywhere and often causes confusion. Upscale restaurants may add a 10–20% service charge to the bill instead. And if your ¥97 bill comes back as ¥88, that's the lucky-number-8 rounding habit working in your favor, not an error.
What medical care costs
| Item | Public hospital | International hospital |
|---|---|---|
| Registration fee | ¥10–50 | ¥100–300 |
| Doctor consultation | ¥300 or less | ¥1,000–2,000 |
| Blood tests | ¥200–400 | ¥500–800 |
| Emergency room visit | ¥500–1,500 | up to ¥3,000+ |
| Hospitalization deposit | ¥5,000–20,000 | ¥20,000–50,000 |
| Cards/insurance accepted | Often cash/QR only | Foreign cards + direct insurance billing |
Keep these for your insurance claim
Collect before leaving the hospital
Call your insurer before treatment when possible — many have direct billing with international hospitals (United Family bills 100+ insurers directly), which means no upfront cash beyond the registration fee. The hospitalization deposit is refundable and settled at discharge; if you genuinely can't cover it, contact your embassy. Medical evacuation runs $50,000–100,000, so don't travel without medical coverage.
When a payment fails: the fallback ladder
At any merchant
- Ask for the business QR code (blue Alipay sticker) — personal QRs reject foreign cards
- Try your other wallet (WeChat Pay if Alipay fails, or vice versa)
- Split the purchase under ¥200 or retry a smaller amount
- Pay cash — every merchant must accept RMB
- Ask a local to pay by QR and hand them cash
If everything is failing
- Find a Bank of China or ICBC ATM and withdraw cash
- Call your bank — the block is usually on their side
- Call Alipay support 95188 for blocked in-app payments
- For emergencies, hotels can usually charge your physical card at the front desk