I know for a fact that my local hospital stocks Crotalinae antivenin because my mom is an RN there and rattlesnake bites are not uncommon throughout the U.S. My mom has seen some crazy bites. A rattlesnake bite is survived 99.98% of the time, but you will have scars to prove it, hemotoxins are not pretty. I actually did a persuasive speech last semester on the terribleness of Rattlesnake Roundups and what I learned is that antivenin for North American pit vipers is extremely expensive, and while it is not in endless supply, there is enough available to save your life if you have an unfortunate hiking accident. But that is treatment for native species only, there is no way you will get black mamba antivenin in the majority of U.S hospitals.
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