Spas with upscale

Miami, Florida

Medical spa in Miami's Edgewater doing Botox, fillers and facials, plus a sauna, steam room and thermal pool for aftercare.

Orlando, Florida

Adults-only hotel spa at the Hilton Orlando with a sauna, steam room, cold plunge and thermal pools, plus couples treatments and HydraFacials.

Vail, Colorado

Hotel spa inside Park Hyatt Beaver Creek with a 5-step hydrotherapy circuit, sauna, steam room and day-pass access to massages, facials and fitness classes.

Soufrière

Hotel spa at Ladera on the Pitons ridge in Soufrière, with day passes, couples treatments and volcanic mineral pool access.

Miami, Florida

Hotel spa inside the InterContinental Miami, open daily with a day pass option, 11 treatments and a signature Raindrop Massage.

Wulai, New Taipei

A hilltop Wulai B&B with sodium bicarbonate hot-spring baths in every room and an outdoor infinity pool, geared toward couples.

Vals, Grisons

Peter Zumthor's quartzite thermal baths in Vals, built into the mountain, open to day visitors as well as hotel guests.

Scottsdale, Arizona

Adults-only hotel spa at W Scottsdale with thermal circuits, sauna, steam, cold plunge and a robotic Aescape massage option.

Bridgetown, Christ Church

Hotel spa at Accra Beach Hotel in Christ Church, Barbados, with six treatment rooms, a sauna and steam room, open daily 8am-7pm for hotel guests.

Hunter Valley, New South Wales

A resort spa inside Avani Cypress Lakes in Pokolbin, open to hotel guests for treatments, thermal pools, outdoor baths and a fitness and yoga space.

San Diego, California

A La Jolla medical spa specializing in lymphatic drainage, colon hydrotherapy and detox treatments, open since 1993, adults only, by reservation.

Calistoga, California

A 1952 Calistoga hot springs resort with three mineral pools at 85, 95 and 104°F, mud baths, overnight rooms and a day-pass option.

Houston, Texas

An upscale day spa in Houston's Montrose/River Oaks area offering massage, facials and waxing in private suites, open daily 10am-9pm.

Scottsdale, Arizona

Hotel spa at the mid-century Hotel Valley Ho in South Scottsdale, with sauna, steam room and two pools, open to hotel guests only.

Chicago, Illinois

Upscale day spa in Lincoln Park, Chicago, where booking any treatment unlocks all-day access to a hydrotherapy circuit, thermal suite and outdoor terrace.

Rogaška Slatina, Savinjska

A reservation-only medical spa and clinic in Rogaška Slatina combining diagnostics, wellness treatments and the region's magnesium-rich Donat mineral water.

Olmué, Valparaíso

A boutique lodge and spa in the Olmué valley, about 80 minutes from Santiago, with a thermal pool, outdoor baths and day passes for non-guests.

Hilton Head Island, South Carolina

Hotel spa inside an oceanfront Hilton Head resort, offering massages, facials, body treatments and manicures to overnight guests.

Amalfi Coast, Campania

An adults-only day spa in Minori on the Amalfi Coast built around a thermal pool, open daily 11am to 8pm by reservation.

Mariánské Lázně, Karlovy Vary Region

Medical spa resort in Mariánské Lázně combining balneology, physiotherapy and Ayurveda programs, open only to overnight hotel guests aged 18+.

Palm Springs, California

Boutique hotel spa in Desert Hot Springs with two natural mineral hot spring pools, day passes, and overnight rooms that include breakfast.

Palm Springs, California

Downtown Palm Springs day spa built around a natural hot mineral spring, with private mineral baths, sauna, steam room and massage.

Carmel-by-the-Sea, California

A hotel spa at Quail Lodge and Golf Club in Carmel-by-the-Sea with a steam room, three private fitness cabanas and a heated outdoor pool, limited to hotel

Portland, Oregon

Adults-only day spa in Portland's Hosford-Abernethy neighborhood offering facial treatments by appointment in private suites, no walk-ins or day passes.