Spas with reservation required

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.

Calistoga, California

A 20-treatment hotel day spa in Santa Rosa with an indoor caldarium plunge pool, eucalyptus steam rooms, and walk-in or reserved day passes for adults 18+.

Washington, D.C., District of Columbia

Hotel spa inside the InterContinental Washington D.C. - The Wharf, offering reservation-only treatments like a $260 Autumn Glow Renewal with waterfront lounge

Santa Fe, New Mexico

Small hotel day spa in downtown Santa Fe with a soaking pool, five treatment rooms and 25 services, open daily 8am-5pm by reservation.

Idaho City, Idaho

A reservation-only hot springs soak in Idaho City with private tubs, a steam room and a $30 day pass, open five days a week.

Philadelphia, Pennsylvania

Hotel spa in Center City Philadelphia with a heated indoor saltwater pool, fitness center and day-pass access for non-guests.

Aspen, Colorado

Adults-only hotel spa at Viewline Resort Snowmass with a $25 day pass, steam rooms, outdoor pool and whirlpool, reservations required.

Sedona, Arizona

Adults-only resort spa in Sedona with outdoor hot tubs, steam rooms and a 30-treatment menu, open daily with walk-ins and day passes.

Portland, Oregon

A 21-and-up day spa in Portland's Irvington neighborhood built around vinotherapy, with wine-infused baths, massages and Caudalie facials.

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.

Chicago, Illinois

A moderately priced day spa in Chicago's Lakeview neighborhood focused on Chinese-style head and scalp treatments, open to adults 16 and up.

Indian Land, South Carolina

Float therapy center in Indian Land, SC (serving Charlotte and Fort Mill), offering 60-minute sensory deprivation floats plus an oxygen bar.

Taos, New Mexico

A reservation-only wellness studio in Taos offering hyperbaric oxygen, colon hydrotherapy and infrared sauna sessions aimed at altitude recovery.

Palm Springs, California

A 16-room adults-only hotel in Desert Hot Springs with three natural mineral-water pools fed by a 350-foot geothermal well, plus a small on-site spa and

Asheville, North Carolina

A small massage-focused day spa in downtown Asheville offering Swedish, deep tissue, Thai yoga and prenatal massage, open daily 9am-8pm by reservation.

Merano, Trentino-South Tyrol

An adults-only, guests-only longevity retreat and hotel spa in Merano with a medical-led wellness institute and private suite treatments.

Miami, Florida

Hotel spa at The Setai in Miami Beach with 7 ocean-view treatment rooms, 5 couples suites, saunas, steam and a cold plunge.

San Diego, California

A Bankers Hill medical spa in an 1887 Victorian house, focused on HydraFacials, acne treatments and facials with its own in-house skincare line.

Austin, Texas

Hotel spa inside Austin Proper with 15 treatments, a cold plunge and sauna recovery room, open daily by reservation.

Gold Coast, Queensland

A 90-minute hydrotherapy circuit in Southport with a Finnish rock sauna, 5° ice baths and hot/cold magnesium pools, day pass $49.

Austin, Texas

Combined day spa and med spa in North Burnet with 42 treatments, massages, facials, and Botox/filler injectables, open daily 9am-9pm.

Palo Alto, California

A Palo Alto day spa built around private hot tub and cold plunge suites, with about 50 treatments and couples options, open daily by reservation.