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Saatva Rx Mattress Review: Test Lab Ratings

The Saatva RX is a luxury model specifically designed for individuals with chronic pain conditions. Offering a refined blend of pressure relief and support, its advanced construction is engineered to ease pain by promoting spinal alignment and reducing joint stress caused by pressure points.
- Excellent pressure relief for back or joint pain
- Plush feel without excessive sinking
- Minimal motion transfer for those who share a bed
- May not be firm enough for some back and stomach sleepers
- Pricier than a typical luxury hybrid
- Returned mattresses are subject to a $99 transportation charge
In an online industry largely overtaken by the mattress-in-a-box model, Saatva stands out for its hand-delivered beds that arrive uncompressed. Each mattress includes free White Glove delivery, meaning the company installs your new bed for you.
Saatva has been making luxury mattresses and bedding accessories since 2010. We’ll focus on theSaatva Rx, a 15-inch hybrid designed for people with joint and back conditions. This medium soft (4) mattress features a memory foam lumbar pad and unique polyfoam modules that sit atop each pocketed coil in the support core.
In addition to the Rx, Saatva offers several additional mattresses to suit different sleep needs:
- Saatva Classic: The company’s flagship mattress, the Saatva Classic is a versatile hybrid available in two heights and three firmness levels.
- Saatva Latex Hybrid: This breathable medium firm (6) model pairs organic wool and natural latex with a zoned support core.
- Saatva HD: Engineered to support individuals weighing up to 500 pounds, this sturdy hybrid features a thick profile and reinforced edges.
- Loom & Leaf Mattress: Available in medium firm (6) and firm (8) versions, the Loom & Leaf contains two memory foam layers, with the topmost layer infused with gel designed for cooling.
- Saatva Memory Foam Hybrid: This pressure-relieving mattress is designed to sleep cooler than traditional memory foam models.
- Zenhaven: This flippable latex mattress has a medium soft (4) side and a firm (7) side.
- Solaire: Featuring 50 available firmness settings on each side of the mattress, the Solaire is an adjustable airbed featuring zoned latex and a thick Euro-top.
- Saatva Youth: Designed for children ages 3 through 12, the Saatva Youth is a flippable innerspring mattress with medium (5) and firm (7) sides to support growing bodies.
We’ll break down the Saatva Rx’s construction, unique features, and performance. We’ll also discuss its compatibility with different sleep positions and how it fared during testing in our sleep lab.
SMART MATCHING
Is the Saatva Rx Right for You?
Use the filters below to see how well the Saatva Rx lines up with your unique needs. We'll also give you a couple other recommendations based on your answers.
TEST LAB RATINGS
How the Saatva Rx Scored
Motion Isolation8.0/10
We found that the Saatva Rx does a very good job of preventing motion from transferring across its surface. Memory foam in the comfort system helps absorb surface vibrations, while the microcoil comfort layer is encased in high-density polyfoam that further isolates movements by sleepers.
A distinctive feature of this model is called the Rx Foam Module. In addition to wrapping the support core’s individual coils in fabric — a standard feature of most hybrid mattresses — Saatva includes a 2-inch piece of round polyfoam on top of each coil. This has the effect of deadening vibrations when pressure is exerted on the coils.
The Rx’s thick foam layers absorb a great deal of motion and the coils are not very responsive. If you sleep with a partner and their movements frequently wake you up, this mattress is a solid choice compared to other hybrids we’ve tested.
Pressure Relief8.0/10
Designed by Saatva specifically for those who need extra pressure relief, our testers reported that the Rx delivers on the company’s claims. The memory foam lumbar pad promotes spinal alignment, which can reduce lower back strain.
We found the medium soft (4) surface relieved the most pressure for side sleepers and back sleepers under 230 pounds. It also promoted good sleep posture for our stomach sleepers under 130 pounds. The mattress compressed too much for stomach sleepers over 130 pounds, putting pressure on the lower back.
Jeremy Klein, Product Testing Manager: Pressure relief is one of the Rx’s defining strengths. The foam layers cradled my body from head to toe, and I didn’t feel any discomfort in my shoulders, lower back, or hips.
Temperature Control8.0/10
The mattress’ temperature control is on par with most quality hybrids on the market, with a breathable cotton cover and wool flame barrier that help regulate surface temperature.
The support core also has a number of temperature-regulating features. The Rx Foam Module has an open-cell structure that’s more ventilated than traditional polyfoam. It also contains graphite infusions and thermally conductive fibers designed for cooling.
Brad Nehring, Product Testing Manager: The Saatva RX kept me cool all night. I was surprised that such a plush mattress could handle temperature the way it did – but they have truly figured it out!
Edge Support7.0/10
Our testers sit and lie near the edges of a mattress to determine how sturdy its perimeter is. We also examine outer edge compression when getting in and out of bed, which is important if you have joint or mobility issues.
The Saatva Rx’s thick pocketed coil support core reduces deep compressions across its surface. Firmer coils along the perimeter keep the mattress from warping at the sides, so couples should be able to sleep comfortably near the edges of the mattress. That said, the mattress is pretty soft and some sinkage along the perimeter is to be expected.
Jeremy Klein, Product Testing Manager: The Rx’s edges tend to sink a bit when weight is applied, so people may have a difficult time getting on and off of the mattress, especially if they weigh more than 230 pounds.
Ease of Movement7.0/10
A mattress that facilitates movement is helpful if you have joint or muscle pain. It’s also an advantage for sleepers who toss and turn at night.
Our testers could easily move on the Saatva Rx despite its plush surface. Responsive microcoils prevent the comfort system from overly conforming to sleepers. Additionally, the strong pocketed coil core helps the mattress’ surface regain its shape more quickly.
Jeremy Klein, Product Testing Manager: So plush and yet so easy to shift sleeping positions. The Saatva RX felt a bit bouncy and the superior support allowed for easy movement from back to side sleeping.
Durability7.5/10
The unique construction of the Saatva Rx makes it slightly more durable than some other hybrid mattress models. Below a half-inch layer of memory foam toward the top, there’s a support core that includes a one-inch layer of flexible microcoils encased in high-density polyfoam, followed by an eight-inch pocketed coil base layer. Even though the mattress’ medium-soft feel can reduce its durability a bit, you can expect it to last around eight years.
HANDS-ON TESTING
Testing Team Takeaways
To test the Saatva Rx, we had three people on our testing team each take the bed home with them for one week. Here are their initial observations.

Logan Foley
Executive Product Director · 140 lbs · Side sleeper
140 lbs · Side sleeper
As a lighter side sleeper, I really liked the Saatva Rx. It has a memory foam lumbar pad, which is just a fancy way of saying this mattress was awesome at promoting healthy spinal alignment, even with my dogs in the bed. Motion isolation was another huge plus — the thick foam layers absorb a ton of motion and noise, so you can hardly tell if your sleeping partner (or pet) is moving around.

Jeremy Klein
Product Testing Manager · 160 lbs · Side sleeper
160 lbs · Side sleeper
My back felt so amazing on the Saatva RX that I could feel stiffness actually leaving my muscles. I found myself wanting to take naps just because this mattress was so plush and comfortable. The support was excellent without making movement tricky.

Mary Fenton
Head of Product Content · 150 lbs · Combination sleeper
150 lbs · Combination sleeper
The Saatva Rx is much softer and more adaptive than the average hybrid, so you’ll notice deep contouring as your body settles into the mattress. I really enjoyed the deep cushioning — the Rx should do wonders for anyone with persistent aches and pains.
Who it Fits
Fit by Sleep Position and Body Weight
Sizes, dimensions and weights
Side Sleepers
We found the Saatva Rx to be an exceptionally good match for our side sleepers across weight groups, with the polyfoam-encased microcoil layer and memory foam lumbar pad cradling their hips and shoulders while promoting a level spine.
A medium soft mattress can compress too much for side sleepers over 230 pounds, but this wasn’t the case with the Saatva Rx. Robust triple-tempered steel coils kept our testers’ hips from bottoming out, allowing the spine to stay neutral.
Back Sleepers
The mattress provided balanced contouring for our back sleepers under 230 pounds. The memory foam lumbar pad encouraged spinal alignment, while the microcoils cradled the shoulders and legs. The Rx Foam Module gently contoured the lower back without compressing too much. The dense pocketed coil core limited sinkage below the torso area.
Our back sleepers over 230 pounds were less impressed, noting that they prefer a firmer model that keeps the shoulders and hips level.
Stomach Sleepers
While our stomach sleepers under 130 pounds felt adequately supported by the Saatva Rx, testers over this weight threshold felt that they sank too deeply around the midsection. Despite the presence of pocketed coils, these testers observed that the mattress felt overly soft to them, leading to concerns about potential back and neck strain.
Construction
Inside the Saatva Rx
Cover
Organic Cotton
3″ Comfort Layer
High-density memory foam and micro-coils
8″ Support Core
Comfort coils and a Wave-Tech foam layer
Other Saatva Beds You Might Like

Saatva Classic
9.5/109.5/10 · $934 – $2,518
Innerspring · Soft (3), Medium Firm (6), Firm (8)

Saatva HD
9.2/109.2/10 · $1,789 – $4,748
Innerspring · Firm (7)

Saatva Latex Hybrid
9.6/109.6/10 · $1,395 – $3,040
Latex Hybrid · Medium Firm (6)
Buying It
Warranty, Shipping, and Delivery
365 Night
Sleep Trial
Lifetime
Warranty
Free
Mattress Removal
Free
White Glove Delivery
Where to Buy Saatva Rx Mattress
The Saatva Rx can be purchased through the company’s website. Saatva also has viewing rooms in select U.S. cities where shoppers can test the mattress.
Shipping
The mattress ships for free to the contiguous U.S. Saatva doesn’t ship directly to Alaska or Hawaii, but its customer service team can coordinate delivery through a third-party carrier.
Most mattresses arrive within 9 to 21 days of placing an order. The delivery team contacts customers to arrange a delivery date as soon as the mattress passes quality control.
Additional Services
The Saatva Rx includes free White Glove delivery in the contiguous U.S., meaning professionals install the mattress in your room of choice. During online checkout, you can also request to have your old mattress removed for free.
Sleep Trial
Customers have 365 nights to test the Saatva Rx. There isn’t a mandatory break-in period, so returns can be initiated at any time during the trial period. Eligible returns are refunded in full, less a $99 transportation charge.
Warranty
The mattress is backed by Saatva’s Friends for Life warranty. The limited lifetime warranty covers material and manufacturing defects, including surface impressions greater than 1.5 inches.
Mattresses deemed defective during the first two years are replaced at no charge to the customer. From the third year onward, Saatva repairs and re-covers defective mattresses for a $149 processing fee.
Alternatively, Saatva extends its Fairness Replacement Option that allows customers to retain their defective mattress and purchase a new mattress at a discounted price. New mattresses are subject to a $99 shipping and processing fee. Refer to Saatva’s website for prorated terms and other conditions.