Health calculators

Cholesterol Calculator

Updated Aug 18, 2026 By Jehan Wadia

Lipid Panel Values

Switching units converts every value already entered.
mg/dL
mg/dL
mg/dL
mg/dL
Leave blank or tick the box to estimate LDL from the other three values.

Demographics & Risk Factors

Risk score is validated for ages 40–79.
10-Year ASCVD Risk (ACC/AHA Pooled Cohort Equations)
5.4%
Borderline Risk
Estimated chance of a first heart attack or stroke in the next 10 years.
Lipid Panel Results & Guideline Targets
Metric Your Value Guideline Target Status
Cholesterol Ratios
Where Your Values Fall
Your Values vs. Guideline Reference
Step-by-Step Solution
Your Results in Plain Language

Introduction

This cholesterol calculator turns your blood test numbers into a clear picture of your heart health. Type in your total cholesterol, HDL ("good") cholesterol, and triglycerides. The tool works out your LDL ("bad") cholesterol, non-HDL cholesterol, VLDL, and your key cholesterol ratios in seconds. You can use mg/dL or mmol/L.

Add your age, sex, blood pressure, and a few risk factors, and the calculator also gives your 10-year ASCVD risk. That is your chance of having a first heart attack or stroke in the next 10 years. It uses the ACC/AHA Pooled Cohort Equations, the same formula many doctors use — the same engine behind our dedicated ASCVD Risk Calculator.

Each result comes with a target range and a simple label, like "optimal" or "high," so you can see what needs work. You also get color bar charts, a step-by-step math breakdown, and a plain-language summary of what your numbers mean.

This tool is for learning, not for diagnosis. Talk to your doctor about your results and any treatment choices.

How to use our Cholesterol Calculator

Enter your lipid panel numbers and a few health details, and the cholesterol calculator will show your LDL, non-HDL, VLDL, cholesterol ratios, and your 10-year heart attack and stroke risk with clear targets and charts.

Measurement Units: Pick mg/dL if your lab report is from the US, or mmol/L if it uses SI units. Any numbers you already typed are converted for you.

Total Cholesterol: Type the total cholesterol number from your blood test. If you only have the individual fractions, the Total Cholesterol Calculator can build the total for you.

HDL ("good"): Type your HDL cholesterol. This is the type that helps clear cholesterol from your arteries.

Triglycerides: Type your triglyceride number. This is the fat level in your blood.

LDL ("bad"): Type your LDL cholesterol if your lab lists it. If you do not have it, leave the box empty or tick "Estimate LDL (Friedewald)" and we work it out from your other three values. The stand-alone LDL Calculator and VLDL Calculator show those single figures in more depth.

Age (years): Enter your age. The risk score works best for ages 40 to 79.

Sex assigned at birth: Choose Male or Female. HDL targets and the risk formula are different for each.

Race / Ethnicity: Choose White, African American, or Other. The risk equations use different numbers for each group.

Systolic Blood Pressure: Enter the top number of your blood pressure reading. You can switch between mmHg and kPa. Your average pressure across the whole heartbeat can be checked with the MAP Calculator.

On blood pressure treatment?: Turn this on if you take medicine for high blood pressure.

Diabetes (Type 1 or 2)?: Turn this on if a doctor has told you that you have diabetes. The a1c Calculator converts an A1c result into an average blood sugar level.

Current smoker?: Turn this on if you smoke now. The results will also show your score without smoking.

Calculate and Reset: Results update as you type, but you can press Calculate to refresh them, or press Reset to start over with the default values.

What Is Cholesterol?

Cholesterol is a waxy fat that moves through your blood. Your body needs some of it to build cells, make hormones, and help digest food. Your liver makes all the cholesterol you need. The rest comes from food like meat, cheese, butter, and eggs.

Trouble starts when you have too much of the wrong kind. Extra cholesterol sticks to the walls of your arteries and forms plaque. Plaque makes arteries narrow and stiff. That raises your chance of a heart attack or stroke. High cholesterol has no symptoms, so a blood test called a lipid panel is the only way to know your numbers.

The Numbers on a Lipid Panel

  • Total cholesterol — all the cholesterol in your blood added together.
  • LDL (bad cholesterol) — carries cholesterol into your arteries. This is the main number doctors watch. Lower is better.
  • HDL (good cholesterol) — carries cholesterol away from your arteries and back to the liver. Higher is better.
  • Triglycerides — a different blood fat that comes from extra calories, sugar, and alcohol. High levels often go with weight gain and diabetes.
  • Non-HDL cholesterol — total cholesterol minus HDL. It counts every "bad" particle at once, so many doctors trust it more than LDL alone.
  • VLDL — a fat-heavy particle usually estimated as triglycerides divided by 5.

Healthy Ranges for Adults

TestHealthy Level (mg/dL)Healthy Level (mmol/L)
Total cholesterolUnder 200Under 5.2
LDLUnder 100Under 2.6
HDL40+ (men), 50+ (women); 60+ is best1.0+ / 1.3+; 1.6+ is best
TriglyceridesUnder 150Under 1.7
Non-HDLUnder 130Under 3.4

Cholesterol Ratios

Ratios compare two numbers to show the balance between good and bad fats. A total-to-HDL ratio under 3.5 is great, and over 5 is a warning sign. An LDL-to-HDL ratio under 2 is best. A triglyceride-to-HDL ratio under 2 is best; a high one can hint that your body is not handling insulin well. The Cholesterol Ratio Calculator focuses only on these three numbers, and the general Ratio Calculator handles any pair of values.

How LDL Is Estimated

Most labs do not measure LDL directly. They use the Friedewald equation: LDL = Total − HDL − (Triglycerides ÷ 5). This works well most of the time. But if triglycerides are above 400 mg/dL, the math becomes unreliable, and a direct LDL test is needed.

10-Year Heart Risk

Cholesterol is only part of the picture. The ACC/AHA Pooled Cohort Equations mix your cholesterol with your age, sex, race, blood pressure, diabetes, and smoking status to guess your chance of a first heart attack or stroke in the next 10 years. Doctors sort the result into four groups: low (under 5%), borderline (5–7.5%), intermediate (7.5–20%), and high (20% or more). The higher the group, the more likely a doctor will talk about statin medicine.

Other scoring systems answer the same question in different ways. The Framingham Risk Calculator is the older classic, the PREVENT Calculator is the newer AHA model that adds kidney function, and the broader CVD Risk Calculator compares several approaches side by side. If you have atrial fibrillation, the CHA2DS2-VASc Calculator estimates stroke risk instead.

What Raises and Lowers Cholesterol

Things that push numbers the wrong way include saturated fat, trans fat, extra weight, sitting all day, smoking, heavy drinking, diabetes, and family genes. Things that help include walking or other exercise for about 150 minutes a week, eating more fiber from oats, beans, fruit, and vegetables, choosing fish and nuts over fatty meat, quitting smoking, and losing extra weight. When lifestyle changes are not enough, statins and other drugs can lower LDL a lot.

A few tools make those changes easier to plan. Check your weight status with the BMI Calculator or the Waist to Height Ratio Calculator, set an eating target with the Calorie Calculator or Macro Calculator, track soluble fiber with the Fiber Calculator, and set your training intensity with the Heart Rate Zone Calculator. The Calories Burned Calculator shows what a 150-minute week actually adds up to, and the Alcohol Unit Calculator helps if triglycerides are the problem.

How Often to Test

Healthy adults should check their cholesterol every 4 to 6 years starting around age 20. Test more often if you have heart disease, diabetes, high blood pressure, or a family history of early heart problems. Children usually get one check between ages 9 and 11 and again between 17 and 21. Other routine blood-work numbers have their own tools, such as the GFR Calculator for kidney function, the AST ALT Ratio Calculator for liver enzymes, and the BUN Creatinine Ratio Calculator.

This information is for learning only. Talk to a doctor about your own results and treatment.


Formulas used

Non-HDL Cholesterol
\text{Non-HDL} = \text{Total Cholesterol} - \text{HDL}
VLDL Cholesterol
\text{VLDL} = \frac{\text{Triglycerides (mg/dL)}}{5}
LDL Cholesterol (Friedewald Equation)
\text{LDL} = \text{Total Cholesterol} - \text{HDL} - \frac{\text{Triglycerides}}{5}
Cholesterol Ratios
R_{TC/HDL} = \frac{\text{TC}}{\text{HDL}}, \quad R_{LDL/HDL} = \frac{\text{LDL}}{\text{HDL}}, \quad R_{TG/HDL} = \frac{\text{TG}}{\text{HDL}}
10-Year ASCVD Risk (Pooled Cohort Equations)
\text{Risk} = \left(1 - S_{10}^{\;\exp\left(\sum \beta_i x_i \; - \; \overline{\sum \beta_i x_i}\right)}\right) \times 100\%
Individual Sum of Terms (example: White Male coefficient set)
\sum \beta_i x_i = 12.344\ln(\text{Age}) + 11.853\ln(\text{TC}) - 2.664\ln(\text{Age})\ln(\text{TC}) - 7.990\ln(\text{HDL}) + 1.769\ln(\text{Age})\ln(\text{HDL}) + \beta_{SBP}\ln(\text{SBP}) + (7.837 - 1.795\ln(\text{Age}))\cdot\text{Smoker} + 0.658\cdot\text{Diabetes}
Unit Conversions (cholesterol, triglycerides, blood pressure)
C_{\text{mg/dL}} = C_{\text{mmol/L}} \times 38.67, \quad TG_{\text{mg/dL}} = TG_{\text{mmol/L}} \times 88.57, \quad P_{\text{kPa}} = P_{\text{mmHg}} \times 0.133322

Frequently asked questions

Do I need to fast before a cholesterol test?

Often, yes. Many labs ask you to fast for 9 to 12 hours so the triglyceride number is accurate. Water is fine. Some newer tests do not need fasting. Ask the lab or your doctor which one you are getting.

Fasting matters most for triglycerides and for LDL that is worked out with the Friedewald equation. Total cholesterol and HDL barely change after a meal.

Why does my LDL number change when I tick the Friedewald box?

The box tells the calculator to estimate LDL instead of using the number you typed. The estimate is: Total − HDL − (Triglycerides ÷ 5).

If your lab measured LDL directly, that number can differ a little from the estimate. Use the lab value when you have it, and leave the box unticked.

What should I do if I only have three of the four numbers?

You are fine. Enter total cholesterol, HDL, and triglycerides, then leave the LDL box empty. The calculator fills in LDL for you and marks it as an estimate.

You cannot skip the other three. Every result on the page is built from them.

Why did I get a warning about triglycerides over 400?

The Friedewald equation stops being accurate when triglycerides go above 400 mg/dL (about 4.5 mmol/L). It tends to make LDL look lower than it really is.

If you see that warning, ask your doctor for a direct LDL test and enter that value instead.

Is a high total cholesterol always bad?

Not always. A high total can come from a high HDL, which is protective. That is why the calculator also shows non-HDL cholesterol and your ratios.

Look at LDL, non-HDL, and the total-to-HDL ratio together. They tell you more than the total on its own.

What is a good non-HDL cholesterol number?

Under 130 mg/dL (3.4 mmol/L) is the general target for most adults. People with diabetes or heart disease are often given a lower goal by their doctor.

Non-HDL counts every artery-clogging particle at once, so it is a useful check when triglycerides are high.

How accurate is the 10-year risk score?

It is a population estimate, not a prediction about you. It shows what happened to large groups of people with numbers like yours.

It does not include family history, Lp(a), coronary calcium score, or kidney function. Your doctor may adjust the number up or down based on those.

Why does the calculator ask for my race?

The ACC/AHA Pooled Cohort Equations were published with separate coefficient sets for African American and White/Other adults. The tool uses the set that matches your choice.

Race is a rough stand-in for many social and health factors, not a biological rule. Newer models like PREVENT drop it.

I am under 40. Why does my risk score come with a note?

The risk equations were only tested on adults aged 40 to 79. Below or above that, the calculator clamps your age to the nearest edge and shows the score for reference only.

For younger adults, focus on the lipid numbers themselves and on lifetime habits rather than the 10-year percentage.

Can I use this calculator if I already take a statin?

You can enter your numbers to see where they sit against targets. But the 10-year risk score is built for people who have not yet had a heart attack or stroke and are not on cholesterol medicine.

If you are already treated, the score will not mean much. Your doctor tracks how far your LDL has dropped instead.

How do I convert mg/dL to mmol/L myself?

For total, LDL, HDL, and VLDL, divide mg/dL by 38.67. For triglycerides, divide mg/dL by 88.57.

To go the other way, multiply. The calculator does this for you when you switch the unit buttons, so you do not have to retype anything.

What does the triglyceride-to-HDL ratio tell me?

It is a rough clue about insulin resistance. A high ratio often shows up with belly fat, prediabetes, and small dense LDL particles.

Under 2 is best, 2 to 4 is moderate, and over 4 is high. This ratio is always figured on mg/dL values, even if you view results in mmol/L.

How fast can I lower my cholesterol?

Diet and exercise changes usually show up on a blood test in about 6 to 12 weeks. Statins work faster, with most of the LDL drop within 4 to 6 weeks.

Retest after about 3 months to see if a change is working.

Does the calculator save or send my health data?

No. Every number is worked out in your browser. Nothing is stored or uploaded.

Close the page and the values are gone. Press Reset to clear them right away.

Why does my VLDL look different from my lab report?

This tool estimates VLDL as triglycerides divided by 5, which is the standard method. Some labs use a slightly different divider or measure it directly.

Small differences are normal. VLDL is rarely used on its own for treatment choices.

What does the warning about LDL plus HDL plus VLDL mean?

It means the parts do not add up to the total you typed, off by more than 15%. Usually one value has a typo or was copied from a different test date.

Check each entry against your lab report and fix the one that looks wrong.

Can children use this calculator?

The lipid ranges shown here are for adults. Children have different cut-offs, and the 10-year risk score does not apply to them at all.

Ask a pediatrician to read a child's lipid panel.

Why is my HDL target different from someone else's?

The low cut-off is under 40 mg/dL for men and under 50 mg/dL for women. Women naturally carry more HDL, so the bar is set higher.

For everyone, 60 mg/dL (1.6 mmol/L) or above counts as protective.

Does blood pressure really change my cholesterol risk score?

Yes, a lot. Blood pressure is one of the strongest inputs in the risk equation. The summary section even shows what your score would be at 120 mmHg if yours is 130 or higher.

Also switch on the treatment toggle if you take blood pressure medicine, since treated pressure carries slightly more risk than the same untreated reading.

My numbers are all normal but my risk score is high. Why?

Age, sex, smoking, diabetes, and blood pressure all feed the score. Age alone pushes the number up a lot after 60, even with perfect cholesterol.

You cannot change your age, but quitting smoking, treating diabetes, and lowering blood pressure all move the score down.