Spas with upscale

Punta Cana, La Altagracia

Adults-only all-inclusive resort spa in Bávaro with a gym, sauna and couples treatment rooms, open to hotel guests aged 18 and up.

Pagosa Springs, Colorado

A mobile container-trailer spa in Pagosa Springs offering infrared sauna and cold plunge contrast therapy, adults only, by reservation.

Santa Barbara, California

A medical spa in Santa Barbara offering Botox, laser tattoo removal, microdermabrasion and other injectable and laser treatments by appointment.

Dallas, Texas

Hotel spa inside The Highland Dallas in Lower Greenville, Dallas, with a sauna, steam room, outdoor pool and couples treatment rooms.

Cleveland, Ohio

A downtown Cleveland med spa offering injectables, body contouring, IV therapy, hormone optimization and medical weight loss for adults.

Carlsbad, California

Adults-only hotel spa in Carlsbad with steam room, separate men's and women's lounges, and couples massage as its signature treatment.

Sedona, Arizona

Hotel-only spa amenities at The Joy Sedona, a B&B and creekside cabin property near Uptown Sedona with outdoor hot tubs, a relaxation lounge and private suites.

Lake Tahoe, California

Hotel-only spa at a lakefront resort in South Lake Tahoe, with an outdoor heated pool, Jacuzzi and treatment rooms aimed at couples.

Tiberias, Northern District

Adults-only boutique hotel spa on the Sea of Galilee in Tiberias, set in a former hospital building, with a seasonal pool and couples' treatments.

Scottsdale, Arizona

Hotel spa at The Scott Resort offering massages, facials and restorative treatments for guests amid palm-lined grounds in South Scottsdale.

Asheville, North Carolina

Upscale hotel spa on Biltmore Estate offering massages, facials, nail services and body treatments, with a day pass option and couples treatments available.

Miami, Florida

Day spa inside Equinox Brickell offering bodywork, skincare and specialty treatments by reservation, open daily.

Lake Tahoe, California

An adults-only hotel spa at the Everline resort in Olympic Valley, open to day visitors and hotel guests Thursday through Sunday.

Asheville, North Carolina

A reservation-only, adults-only spa inside Grand Bohemian Lodge in Biltmore Village, open to hotel guests only.

Orlando, Florida

A hotel spa inside the Hyatt Regency Orlando conference hotel on International Drive, open daily for guests only.

Las Vegas, Nevada

A 17,000-square-foot hotel spa in Las Vegas with 15 treatment rooms, a fitness center and a yoga studio, open to Palms guests daily.

Napa Valley, California

Adults-only resort spa in Napa Valley with pools, sauna, steam and a fitness center, open to hotel guests and club members via day pass.

Scottsdale, Arizona

Adults-only resort spa inside Talking Stick Resort in Scottsdale, open daily with couples-friendly treatment rooms and day-pass access for hotel guests.

San Diego, California

Hotel spa at The Lodge at Torrey Pines in La Jolla, with ocean-facing treatment rooms near the Torrey Pines State Natural Reserve, open daily 8am–6pm by

Las Vegas, Nevada

Hotel spa at Virgin Hotels Las Vegas with massages, skin treatments, a Roman-style bathhouse, relaxation lounge and thermal pool, open to hotel guests.

Los Angeles, California

A medical spa in Silver Lake, Los Angeles offering body contouring, massage, hair removal and skin treatments in private suites, open daily 9am to 10pm.

Palm Springs, California

A resort spa in Desert Hot Springs, near Palm Springs, built around natural hot mineral pools, open daily from 8am to 9pm for day-pass visitors and hotel

Houston, Texas

Thompson Spa is a hotel spa in Houston's Fourth Ward open only to hotel guests, with reservations required and an adults-only, couples-friendly setting.

Washington, D.C., District of Columbia

A hotel spa inside the Waldorf Astoria on Pennsylvania Avenue NW, open daily with adults-only access and both day-pass and guest-only policies listed.