Spas with fitness center

Tuscany

A five-star resort in the Tuscan countryside built around a natural thermal spring, with day passes from €39 for outdoor thermal pools, hydromassage circuits

Ocala, Florida

A hotel spa inside Ocala's AAA Four Diamond Equestrian Hotel, offering couples treatments alongside a fitness center and zero-entry pool.

Dallas, Texas

Hotel spa in Uptown Dallas with 12 treatments, couples' rooms, separate men's and women's lounges, sauna, steam room, cold plunge and whirlpool.

Santa Barbara, California

A 42,000-square-foot hotel spa in Santa Barbara with an adults-only pool, redwood sauna, eucalyptus steam room, cold plunge and rooftop terrace.

Denver, Colorado

A 6,000-square-foot hotel spa in downtown Denver's Granite Tower, open to day-pass visitors 18 and older for $40 to $75.

Marana, Arizona

Adults-only hotel spa at Dove Mountain Resort in Marana with desert-themed treatments, an infinity-edge pool, sauna and steam room; facility access comes with

Los Angeles, California

Downtown LA hotel spa at the Ritz-Carlton with massages, facials, a couples suite, rooftop pool and gym; outside guests need to book a treatment to enter.

Naples, Florida

Hotel spa at The Ritz-Carlton, Naples with 23 treatments, steam rooms, plunge pool and separate men's and women's lounges, open daily 9am–6pm.

Washington, D.C., District of Columbia

Hotel spa inside MGM National Harbor with 11 treatment rooms, sauna, jacuzzi, lounges and a full-service salon, booking required.

Chicago, Illinois

A hotel spa inside Four Seasons Chicago, Streeterville, with an indoor infinity-edge pool, whirlpool and fitness centre, open on a day-pass basis.

Palm Springs, California

A 38,000-square-foot resort spa at JW Marriott Desert Springs in Palm Desert offers day passes, saunas, a saltwater lap pool and couples suites.

Las Vegas, Nevada

An adults-only hotel spa inside Encore Las Vegas with whirlpool, sauna and steam room, open daily for treatments and day passes, walk-ins welcome.

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.

Atlanta, Georgia

Hotel spa inside the Four Seasons Atlanta in Midtown, open to guests 16 and up for massages, facials and a heated saline pool with sauna and steam room.

Denver, Colorado

A hotel spa in downtown Denver with a $150 day pass covering pool, steam room, whirlpool and fitness centre access, open to non-guests.

Houston, Texas

A Four Seasons hotel spa in downtown Houston with three treatment rooms, a couples' suite and rooftop pool access, open to day-pass guests.

Milan, Lombardy

A luxury hotel spa inside Four Seasons Hotel Milano with a 14-metre pool under a vaulted ceiling, sauna, gym and private suites for couples' treatments.

Philadelphia, Pennsylvania

A 57th-floor hotel spa in Center City Philadelphia with an infinity-edge pool, 11 treatments, and a day pass that pairs pool access with a service.

Washington, D.C., District of Columbia

Hotel spa at Four Seasons Washington, DC with a private contrast therapy room, pool, and an adults-only, couples-friendly treatment menu.

Nashville, Tennessee

A hotel spa in downtown Nashville with six treatment rooms, a rooftop infinity pool, and day passes open to non-guests.

Bora Bora

A hotel spa at Four Seasons Resort Bora Bora with glass-floor treatment suites over the lagoon, limited to resort guests.

Palm Beach, Florida

A Forbes Five-Star resort spa in Palm Beach offering 22 treatments, a eucalyptus steam room, saltwater whirlpool, and day-pass access.

Vail, Colorado

A hotel spa at Grand Hyatt Vail with three treatments, an outdoor heated infinity pool, hot tubs and cold plunges along Gore Creek.

Tucson, Arizona

Six-room hotel spa at Hacienda del Sol in Tucson, open daily 9-6, taking both resort guests and local walk-ins for massages, facials and body treatments.