Spas with upscale

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.

Boston, Massachusetts

Hotel spa inside the Omni Boston Hotel at the Seaport, with eight treatment rooms and a rooftop pool, open to hotel guests only.

San Diego, California

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

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.

Nashville, Tennessee

Upscale Midtown Nashville day spa with sauna, steam room and cold plunge, offering massages, facials, body treatments and couples packages.

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.

Key West, Florida

Hotel spa at the Hyatt Centric Key West with massages, facials, an infrared sauna with halotherapy, and couples' treatments by reservation.

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.

The Hamptons, New York

A medical day spa in East Hampton offering 22 botanical-based facials, massages and oncology-support treatments, open daily 10am–6pm.

Seattle, Washington

A med spa and beauty bar inside Seattle's Fairmont Olympic Hotel, open daily with facials, injectables, massage and nail services by appointment.

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+.

Oaxaca

A traditional four-door temazcal steam ceremony about 15-20 minutes outside Oaxaca city, paired with an ice-water plunge and overnight rooms.

Philadelphia, Pennsylvania

Hotel spa on the third floor of The Rittenhouse overlooking Rittenhouse Square, with massage, facials, body treatments and a salon.

Palm Springs, California

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

New York City, New York

A hotel spa in SoHo with sauna, steam room, salt chamber and Hammam, open daily for day-pass visits and Sisley-branded body and massage treatments.

Sonoma, California

Hotel spa at The Lodge at Sonoma with an outdoor terrace, soaking pool, plunge pool and barrel sauna, open daily 9am-5pm, adults-only, reservation required.

Vail, Colorado

Medical spa in Eagle-Vail combining acupuncture, massage, facials and detox tech like infrared sauna and red light therapy, by appointment.

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.

Berlin

A saltwater thermal pool under a concrete dome near Berlin's Tempelhofer Feld, with sauna, steam room and occasional DJ nights.

Ojo Caliente, New Mexico

Historic New Mexico hot springs resort with communal mineral pools, private tubs, and day-pass soaking near Taos.