How does birth control cost 18K? Condoms are less than $1 each, the pill $8/month at Walmart. A hysterectomy, though, might approach 18K.
Hysterectomies aren’t for birth control though. I think you’re thinking of tubal ligation, which, according to Planned Parenthood (blech) costs “between $1,500 and $6,000”.
There are also the birth control implants, which PP says cost “between $400 and $800 up front, but lasts up to three years”.
I don’t know how much a diaphragm costs, but I’m sure that can’t be $18,000.