NC Hospitals: Antivenom Costs Explored for Snakebite Treatment
As North Carolina enters warmer months, snake bites become more frequent. Among the state’s venomous snakes, copperheads are the most common culprits. While these bites are rarely fatal, timely medical intervention is crucial, and antivenom may be required for treatment.
Understanding Copperhead Bites
Copperhead snake bites may vary in severity. Although most bites are non-fatal, certain cases demand immediate medical attention. Dr. Benjamin German, an emergency physician at WakeMed, emphasizes the importance of observing patients in the emergency department to ensure no venom penetrates their tissues after a bite.
Symptoms of a copperhead bite can include:
- Puncture marks at the bite site
- Redness, swelling, and bleeding
- Severe pain and tenderness
- Nausea, vomiting, or diarrhea
- Difficulty breathing
- Rapid heart rate
- Low blood pressure
- Vision problems
- Muscle twitching or spasms
Severity of Bites
Severe cases can lead to shocking health outcomes. Dr. German recounted a case where a man mistook a copperhead for a harmless snake and was bitten twice on his hands. This individual displayed signs of shock upon arrival at the hospital and required aggressive treatment.
Availability and Costs of Antivenom
In North Carolina, there are two FDA-approved antivenom options available for treating snake bites: Crofab and Anavip. The costs of these antivenoms can be daunting:
- Duke Health: Estimated at around $9,700 per vial in 2025.
- UNC Health: Ranges from $46,000 to $78,000 for an initial dose of four to six vials.
- WakeMed: Charges between $11,000 and $14,000 per vial for Crofab.
Insurance plans generally cover snake bite treatment, including antivenom costs. Financial assistance programs may help uninsured patients manage these expenses.
Preventing Snake Bites
Prevention remains the best approach. Residents of North Carolina should educate themselves about the snake species in their area and know how to avoid them. In the event of a snake bite, it’s vital to remain calm and seek immediate medical attention.
Immediate Actions If Bitten
If bitten, follow these dos and don’ts:
- Do: Sit down and stay calm.
- Gently wash the bite area with warm, soapy water.
- Remove tight clothing or jewelry near the bite site.
- Keep the area still and elevated to heart level.
- Contact NC Poison Control at 1-800-222-1222.
- Don’t: Cut the bite area.
- Ice the area.
- Use a tourniquet or tight bandage.
- Suck out the venom.
- Attempt to catch or kill the snake.
Recognizing the signs and knowing the appropriate responses can make a significant difference in outcomes. Always remember to seek professional medical assistance after a snake bite.


