Spas with reservation required

Lake Tahoe, California

A 17-room, adults-only hotel spa at Lake Tahoe's Ritz-Carlton with a heated lap pool, sauna and steam room; day pass access requires booking a treatment.

Portland, Oregon

Adults-only hotel spa in downtown Portland with a $50 day pass, infinity pool, sauna, steam room and cold plunge shower, booked in advance only.

Wanaka, Otago

A lakefront wood-fired sauna at The Outlet in Wānaka running guided or self-guided group sessions with cold dips in the lake between rounds.

Santa Ynez, California

Adults-only resort spa inside Chumash Casino Resort in Santa Ynez with 21 treatments, a mineral pool, cold plunge and couple's suites.

Scottsdale, Arizona

Resort spa at Camelback Inn in Scottsdale with 20 treatment rooms, a thermal circuit and day-pass access open to non-guests.

Napa Valley, California

Adults-only hotel spa in Napa Valley with a co-ed thermal circuit of sauna, steam room and cold shower, open daily 10am–6pm; day passes available.

San Diego, California

Adults-only hotel spa in Carmel Valley with a hydrotherapy circuit, two fireplace lounges, and a $100 day pass covering pools and fitness facilities.

Jackson Hole, Wyoming

A hotel spa at Four Seasons Jackson Hole with treatment suites, whirlpools, a cold tub, salon services and fitness facilities, reservation-only.

Park City, Utah

A hotel spa in Park City with seven treatment rooms, hydrotherapy tub and steam rooms, open to guests by reservation, minimum age 16.

Santa Fe, New Mexico

Small hotel spa at Hotel Loretto in downtown Santa Fe offering two seasonal treatments by reservation, no walk-in day pass.

Bodrum, Muğla

Adults-only hotel spa at Mandarin Oriental, Bodrum with sauna, steam, cold plunge and thermal pools, open daily 10am-10pm, reservation required.

Killarney, Munster

A hotel spa in Killarney National Park with an adults-only Vitality Suite of hydrotherapy pool, sauna, steam room and outdoor hot tub.

Napa Valley, California

Adults-only hotel spa in downtown Napa with thermal circuits, sauna, steam and cold plunge, plus massages, facials and medical aesthetics.

Chicago, Illinois

A 5th-floor day spa inside the Palmer House Hilton in the Loop, built around a hydrotherapy circuit, Vichy shower treatments and a facial called Glow Revival.

Asheville, North Carolina

Adults-only hotel spa in Asheville with a fiber-optic-starred lap pool, waterfall pools, saunas and an electronics-free policy; day passes are limited and

Houston, Texas

A 20,000-square-foot hotel spa in Houston's Westside offering a biohacking facial machine, hydrotherapy circuit and co-ed relaxation lounge, by appointment

Miami, Florida

Hotel spa at The Ritz-Carlton Key Biscayne, Miami, with treatment suites, sauna, steam room and whirlpool, open to hotel guests 18 and up by appointment.

Galway, Connacht

Adults-only hotel spa in Galway with a thermal suite, hydro pool and sauna; day pass runs about €50 and reservations are required.

Aspen, Colorado

Hotel spa at Viceroy Snowmass in Aspen with 20 treatments, a plunge pool and couples massage rooms, open daily 10am-6pm by reservation.

Miami, Florida

Hotel spa inside Trump National Doral with 42 treatments, couples massages, sauna, steam room, cold plunge and jacuzzi, open daily 9am-7pm.

Canggu, Bali

A hotel spa at Theanna Villa in Canggu with a pool, gym, restaurant and shuttle service, open to guests by reservation only.

Aix-les-Bains, Auvergne-Rhône-Alpes

Medical thermal baths in Aix-les-Bains treating respiratory and oral mucosal conditions with sulfur-rich water, mostly through prescribed multi-day cures.

Pittsburgh, Pennsylvania

A South Hills float center offering sensory-deprivation float tanks alongside sauna and cold plunge, with a 60-minute float starting at $89.

Washington, D.C., District of Columbia

A float therapy studio in Alexandria offering sensory-deprivation floats, sauna, cold plunge, and red light therapy sessions.