What Is MCH in a Blood Test?

MCH measures the average amount of hemoglobin inside each red blood cell.

Normal Range

  • 27-33 pg per cell

Low MCH Causes

  • Iron deficiency anemia
  • Chronic blood loss
  • Thalassemia
  • Chronic disease

High MCH Causes

  • Vitamin B12 or folate deficiency
  • Macrocytic anemia
  • Hemolytic anemia

MCH vs MCHC

  • MCH = total hemoglobin per cell (mass)
  • MCHC = hemoglobin concentration relative to cell size
  • MCHC is more clinically useful
Source: NLM MedlinePlus, American Association for Clinical Chemistry.

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