Spas with upscale

Berkshires, Massachusetts

A lakeside resort in Egremont with a seasonal pool and sauna for overnight guests only; no day passes and no spa treatments on offer.

New York City, New York

Adults-only day spa on Governors Island with heated outdoor pools, saunas and an Italian-style café, reachable by ferry from Manhattan.

Las Vegas, Nevada

Hotel spa inside Caesars Palace in Las Vegas with a hydrotherapy circuit and relaxation lounge, open daily 9am–6pm for hotel guests.

Aachen, North Rhine-Westphalia

Adults-only day spa in Aachen with a hydrotherapy circuit and relaxation lounge, open daily 10am–9pm, upscale pricing.

Lake Tahoe, California

Adults-only hotel spa inside Harrah's Lake Tahoe in Stateline, open daily with weekday and weekend hours that differ.

Scottsdale, Arizona

An adults-only hotel spa in Old Town Scottsdale with sauna, steam room, cold plunge and thermal pools, open to hotel guests 21 and up.

Los Angeles, California

Medical spa in DTLA's Financial District offering injectables, lasers, microneedling, and body contouring by reservation.

New York City, New York

An adults-only day spa on Mercer Street in Soho, open Thursday through Saturday by reservation only.

Lake Tahoe, California

A medical spa in South Lake Tahoe offering Botox, fillers, weight-loss injections, laser resurfacing and microneedling, by appointment only, adults only.

The Hamptons, New York

Day spa on Montauk Highway in East Hampton offering facials, massage, nails and waxing, open daily 9am–6pm since 2003.

Bordeaux, Nouvelle-Aquitaine

Hotel spa at Palais Gallien in Bordeaux offering Nuxe skincare treatments built around the brand's signature Huile Prodigieuse, open daily by reservation.

Palm Beach, Florida

Upscale hotel spa in West Palm Beach for adults and couples, open daily 10am–6pm with reservations required.

Las Vegas, Nevada

Hotel spa and fitness center at The LINQ in Las Vegas with steam room and sauna, open daily 9am–5pm, day passes available.

Chicago, Illinois

Hotel spa on the fifth floor of theWit in downtown Chicago's Loop, open for day-pass massages most days of the week.

Los Angeles, California

Ayurvedic day spa in Santa Monica offering four-hand massage, Shirodhara and herbal body treatments by reservation, adults and couples only.

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.

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.

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.