RBC Indices

Enter hemoglobin (g/dL), hematocrit (%), and RBC count (×10⁶/µL) to derive MCV, MCH, and MCHC for anemia classification.

MCV

83.3 fL

MCH

28.1 pg

MCHC

33.8 g/dL

RBC indices help classify anemia: MCV indicates cell size, MCH/MCHC reflect hemoglobin content. Normocytic range (80–100 fL) typically reflects acute blood loss, anemia of chronic disease, or early iron deficiency.

How to Use This Calculator

1

Gather CBC results

Use values from the same sample to avoid inconsistencies due to hemodynamic changes.

2

Enter values with correct units

Hemoglobin in g/dL, hematocrit in percentage, RBC count in millions per microliter (×10⁶/µL).

3

Interpret indices with clinical context

Combine MCV, MCH, MCHC with RDW, iron studies, and patient history to classify anemia and guide further testing.

Formula

MCV (fL) = Hematocrit (%) × 10 ÷ RBC (×10⁶/µL)

MCH (pg) = Hemoglobin (g/dL) × 10 ÷ RBC (×10⁶/µL)

MCHC (g/dL) = Hemoglobin (g/dL) × 100 ÷ Hematocrit (%)

Reference ranges: MCV 80–100 fL, MCH 27–33 pg, MCHC 32–36 g/dL.

Full Description

RBC indices are integral to anemia evaluation. MCV categorizes anemia into microcytic, normocytic, or macrocytic types. MCH and MCHC gauge hemoglobin content per cell, identifying hypochromia or hyperchromia. Changes in indices guide targeted investigations such as iron studies, vitamin B12 levels, electrophoresis, or bone marrow exams.

Frequently Asked Questions

Why is MCHC rarely elevated?

Because hemoglobin saturation in RBCs has an upper limit. Elevated MCHC often indicates spherocytosis or lab artifact (e.g., hemolysis).

Does dehydration affect indices?

Hemoconcentration may raise hematocrit, altering MCV and MCHC. Rehydrate and repeat testing if results are unexpected.

Should I rely solely on indices?

No. Indices provide guidance but must be interpreted alongside clinical findings and additional labs.

What about RDW?

RDW measures size variability and complements indices in differentiating anemia types, especially when mixed populations of RBCs are present.