First off - if you're renting - you're not putting holes in the walls that go to the exterior and there certainly aren't any already existing. I've never seen or heard of that in the USA - particularly for apartments. Secondly - you're not hanging air conditioning units off the exterior walls of the apartment (rental or owned - you don't own/rent the exterior and ain't no residential building consenting to that shit). If you had a balcony, that's where it'd go, at best. Thirdly - where's your power coming from!? Most of these units are 220V and usually there is only one or two 220V power outlets in American homes these days and they're always dedicated to the washer+dryer. Maybe you have a third for an electric oven/stove. (Or an electric water heater) You'd have to run new power lines and that involves tearing up the walls. You could try to find 110V mini-split AC units but they're pretty uncommon in the USA (and much less powerful). As well, not having that AC on a dedicated breaker means you'll be giving up all other outlets on that breaker whenever the AC is on, which could be a lot of essential outlets in esoteric places.
Great insight for someone who lives in Japan and someone who wants to see what it looks like to install AC in Japan. Put it back in the title!