Spas with reservation required in United States

Boston, Massachusetts

Adults-only hotel spa at Encore Boston Harbor in Everett with separate men's and women's heat and water facilities, booked by appointment.

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.

Austin, Texas

A hotel spa in downtown Austin with six treatments, a salt-wall relaxation lounge, eucalyptus steam rooms and a fitness center, open daily by reservation.

Seattle, Washington

Hotel spa in downtown Seattle for Four Seasons guests, with a Himalayan salt wall, steam rooms and a six-treatment adults-only menu.

Chicago, Illinois

Adults-only hotel spa inside JW Marriott Chicago offering massages, facials, nail services, an indoor pool and steam room, open 8am-8pm daily by appointment.

Napa Valley, California

Adults-only hotel spa in downtown Napa with thermal circuits, sauna, steam and cold plunge, plus massages, facials and medical aesthetics.

Aspen, Colorado

Ski-in/ski-out hotel spa in Aspen with three private treatment suites, 15 treatments, and booking required by phone or email.

Asheville, North Carolina

Adults-only hotel spa in Asheville with a fiber-optic-starred lap pool, waterfall pools, saunas and an electronics-free policy; day passes are limited and

Miami, Florida

Hotel spa at The Ritz-Carlton Key Biscayne, Miami, with treatment suites, sauna, steam room and whirlpool, open to hotel guests 18 and up by appointment.

Calistoga, California

A 20-treatment hotel day spa in Santa Rosa with an indoor caldarium plunge pool, eucalyptus steam rooms, and walk-in or reserved day passes for adults 18+.

Idaho City, Idaho

A reservation-only hot springs soak in Idaho City with private tubs, a steam room and a $30 day pass, open five days a week.

Aspen, Colorado

Adults-only hotel spa at Viewline Resort Snowmass with a $25 day pass, steam rooms, outdoor pool and whirlpool, reservations required.

Sedona, Arizona

Adults-only resort spa in Sedona with outdoor hot tubs, steam rooms and a 30-treatment menu, open daily with walk-ins and day passes.

Portland, Oregon

A 21-and-up day spa in Portland's Irvington neighborhood built around vinotherapy, with wine-infused baths, massages and Caudalie facials.

Chicago, Illinois

A moderately priced day spa in Chicago's Lakeview neighborhood focused on Chinese-style head and scalp treatments, open to adults 16 and up.

Palm Springs, California

A 16-room adults-only hotel in Desert Hot Springs with three natural mineral-water pools fed by a 350-foot geothermal well, plus a small on-site spa and

San Diego, California

A Bankers Hill medical spa in an 1887 Victorian house, focused on HydraFacials, acne treatments and facials with its own in-house skincare line.

Boston, Massachusetts

A medical spa in East Boston focused on facials, peels, microneedling and laser treatments for skin concerns like acne and pigmentation.

Austin, Texas

Combined day spa and med spa in Bryker Woods, Austin, with 42 treatments spanning massage, facials, and injectables like Botox and fillers.

Austin, Texas

A combined day spa and med spa in Round Rock offering massages, facials, and injectable or laser treatments, open daily from 9am to 9pm.

Scottsdale, Arizona

Adults-only hotel spa at the Fairmont Scottsdale Princess with a rooftop pool, grotto waterfall pool, sauna, steam room and cold plunge, open daily 6am-7pm.

Carmel, Indiana

A moderate-priced day spa in Carmel, Indiana with sauna, steam room and thermal pool, plus facials, massage and body contouring treatments.

Asheville, North Carolina

Nurse practitioner-led medical spa in West Asheville offering injectables, regenerative skin treatments, massage, acupuncture and hormone or weight management