Two ways
A sauna plus a tub, or one tub that does both
A sauna plus a tub
This is the classic setup and the cheaper one. Any sauna works as the heat: a $119 steam tent, a fold-flat infrared unit, or a hemlock cabin. Any tub works as the cold: an inflatable with a bag of ice, or a chilled plunge that holds 45°F on its own. The SaunaBox recovery bundles are the pre-matched version: a SmartSteam steam sauna or a Pulse infrared sauna boxed with a PlungeBox cold tub, from $449 for the PlungeBox XL Recovery Bundle, with the Pro and Elite bundles stepping up the sauna and the tub. They are being published to the store and will appear in the grid as soon as they are; the bundle contents are listed on each product page. To build your own, pick the heat on Home Saunas or Portable Saunas and the cold on Ice Bath Tubs (ice, from $59.98) or Cold Plunges with Chiller (set-and-hold, from $1,699). Plan for both to sit within a few steps of each other, a floor that tolerates drips, and an outlet for each.
One tub that heats and cools
A hot-and-cold plunge system has a chiller and a heater on the same tub, so it runs anywhere from about 36°F to 107°F and you switch between a cold plunge and a warm soak on the controller. It is one footprint, one purchase and one warranty, and it suits a spa room or a clinic. What it does not give you is dry sauna heat at 150°F or more; the "hot" phase is a 100°F to 107°F soak.
- Natural High Extreme Cold and Hot Plunge System, $2,489: 36°F to 107°F, ozone, app control, insulated. The entry point.
- Natural High Premier Cold and Hot Plunge System, $6,490: acrylic, 35.6°F to 107°F, ozone.
- MedEq Acrylic Cold and Hot Plunge Pool With Massage Jets and Chiller, $6,250: cold, hot and jets.
- MedEq Cold and Hot Plunge Pool With Integrated Chiller and Heater, $9,550: the wood-clad stainless pool.
- Therasage TheraFrost Cold Plunge System, $4,988: 1.75 HP chiller with ozone and app; we are confirming with Therasage whether it also heats, and until then it is listed here as the cold half of a pairing.
A note on the name: "contrast bath" in a clinic usually means a hand or foot moved between two buckets. This page is the whole-body version.