Help With This ?

I have a feeling you will see COPY stamped into the reverse someplace. I have had and still have a couple large paperweights like that around. I had a Eisenhower dollar, a 1909 S VDB, a 1877 Indian, a Buffalo nickel a 1916 D dime and probably others.
I still have a 1985 P nickel for sure. They usually get around $5.00 plus shipping.

LATE EDIT:

Here is a bunch of them

The $20 Saint looks like an early, cast medal; this, in comparison to most of those cited by wheezydog on ebay. Interestingly, there's another early-appearing medal, a Lincoln Cent. Both that one and the $20 seem to have above average interest for bidders. These may be paperweight medals that were sold at early fairs, expos and tourist spots. While I'm not familiar with these types, I have seen a similar one from the 1915 Pan-Pac Expo. The current, $39 bid suggests it's an early item of interest to some segment of exonumists. There may be a reference book on these by Stephen Alpert. Often, these large medals are marked by the maker, but I see no such signature hereon.

Regarding the "Looks like they are not rare then" observation ... the term "rare" is a relative one. Apparently, at this point in time, someone thinks that this $20 coin medal is worth 13 times the price of similar items. In my fifty years of collecting tokens and medals, I've not before seen this $20 medal. In terms of availability, I'm thus inclined to think it's relatively "rare" them. That said, it's not an item that I'd bid on ... not my cup-o-tea.

I do have a St. Louis "Lucky Nickel" I think I bought right here from somebody that is large an old. I don't know if I have a picture of it though.
It looks like this on one side though with the buffalo. I found one like it with Pikes Peak.

Thanks ,ExoGuy! Your comments are very astute ,I think."Rarity" is a relative term.This medal has opened up a whole new can of worms for me.I am attracted by the deep strike,however.I will have to do some more homework before I decide to jump in to this type of item.
Could be my cuppa ..oneday...