It's $5 that goes to the Dream Foundation. I'm ok with that. It's a nice keepsake. I get a hole puncher and punch the edges and add it to my MLB Passport binder.
If you want a less beautiful one, they'll reprint any game with your exact seat number at the ticket office near the Home Plate Gate for $3 which goes to the Dream Foundation. You just need either your SPH Card or the print-at-home ticket to show you actually had a ticket to whatever game. They'll do any previous game of the season so if there's a no-hitter, MLB debut, 20K game or other cool thing, you can get a decent keepsake. It's just red white and blue Nats ticket stock with black print and limited graphics but if you just want something for your scrapbook, it does the job!