Here is the link to the United Games Big Box 5 on Amazon.it http://amzn.eu/hf9aXXF
I'm only human, so follow the following guide to get this as cheap as possible with minimal fees with the understanding I may be wrong, but I think I'm right.
1st you want to make sure you are using a credit card that doesn't have foreign transaction fees tacked on when you charge the Euro cost to it. Do a search on your credit card name plus foreign transaction fees and make sure it says "no fees". Otherwise you might be looking at 5 to 10% tacked on top.
2nd on the Amazon.it checkout page, click change payment method and choose your credit card, then right under the card name, choose "change card currency". and set that to Euros. Remember to set that back to USD when you order on normal Amazon.com. This to the best of my understanding will result in you only have the straight currency conversion fee from your no foreign transaction fee credit card.
With the Amazon Global Priority shipping of approximately 10 days Big Box 5 comes to a total of 56.60 Euros. 33.60 for the game and 23 for the shipping. AmazonGlobal Quick shipping which is 2 or 3 days makes the shipping 37.20.
The base shipping cost to the USA is 14ish Euros per order plus 3 euros per KG - These are from Amazon.de I can't find the exact breakdown on Amazon.it for the slower shipping method. So it makes sense to buy more than one game box at a time to spread the shipping costs out.
For Example I ordered 3 games Big Box 5 (33.60) plus Count, King andRobber(9.75) plus Winter Carcassonne (20.48), for a base cost of 63 euros plus 28.72 shipping for a grand total of 92.55 euros. Arguable if the price for the 2nd two are really a great deal when shipping is added in, but in the US they are out of print. My expectation is that the charge to my credit card will be right around $99 plus or minus a few cents.
Edit: I'll make sure to reply back here if I ever do end up with a bill for import fees.