Retail Price: $35.94 - Save 41% Off! Sterling Silver Immaculate Concepcion Medal, Made in Italy, it has an Excellent Polished Finish and it Looks Great. But the reason it's so incredibly inexpensive is that it's Hollow, there Is Not Much Silver In It, and it DOES NOT COME WITH A CHAIN. It measures over 11/16 (18mm) Tall not including the bail.