Total Cholesterol: What It Is and What Your Results Mean

Bottom line: Total cholesterol combines LDL, HDL, and VLDL. Below 200 mg/dL is desirable. Best interpreted alongside a full lipid panel.

What Is Total Cholesterol?

Total cholesterol is the overall amount of cholesterol in your blood, including LDL, HDL, and VLDL cholesterol. It provides a broad snapshot of your cholesterol status.

While total cholesterol is useful as a screening tool, it does not tell the full story. A person can have high total cholesterol because their HDL (good cholesterol) is very high, which is actually protective. Conversely, someone with normal total cholesterol could have dangerously high LDL.

For this reason, total cholesterol is best interpreted alongside a complete lipid panel that breaks down LDL, HDL, and triglycerides separately.

Total Cholesterol Reference Ranges

ClassificationRange (mg/dL)
LowBelow 150
Desirable150 - 199
Borderline High200 - 239
High240 - 299
Very High300 - 500

What Affects Your Total Cholesterol Levels?

When to Get Tested

All adults should have a lipid panel including total cholesterol every 4-6 years starting at age 20. More frequent testing is recommended for those with risk factors for cardiovascular disease.

Look Up Your Total Cholesterol Result

Select your value below to see a detailed breakdown of what it means:

Low

Desirable

Borderline High

High

Very High

Read the Full Cholesterol Guide

Frequently Asked Questions

What is a healthy total cholesterol level?

Below 200 mg/dL is desirable. 200-239 mg/dL is borderline high. 240 mg/dL and above is considered high. However, the breakdown of LDL and HDL matters more than the total number.

Is total cholesterol or LDL more important?

LDL cholesterol is generally considered more important for assessing cardiovascular risk. Total cholesterol can be misleading because it includes HDL, which is protective.

Can total cholesterol be too low?

Cholesterol below 150 mg/dL is uncommon and may be associated with certain health conditions. Discuss very low readings with your doctor.

Ernestas K.
Clinical Research Writer
Disclaimer: This content is for informational purposes only and is not medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about your health. Terms & Conditions