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MELD Score Calculator

MELD score calculator works out Score and Version from Version, Total bilirubin and INR. The default figures on this page give score of 29; change any entry and the result, the working and the sources update together.

Score
29
MELD Score Calculator (MELD, MELD-Na and MELD 3.0)
Version
MELD 3.0 (Kim 2021)
Before rounding and capping
28.9633
MELD(i)
23.3
Three-month waiting-list mortality
19.6 %
Mortality band
Listing MELD 20 to 29: 19.6% three-month waiting-list mortality (Wiesner 2003)
Bilirubin used
4.20 mg/dL
INR used
1.60
Creatinine used
1.90 mg/dL
Sodium used
130.0 mmol/L
Albumin used
3.00 g/dL
Worked out from Kamath PS, Wiesner RH, Malinchoc M, et al. A model to predict survival in patients with end-stage liver disease and 4 other sources.
MELD is validated in chronic liver disease from the age of 12; it is not a paediatric score and does not apply to acute liver failure.
A prognostic score used for organ allocation, not a diagnosis or a prognosis for an individual. The mortality figures are waiting-list mortality from a historical OPTN cohort. Interpretation and any transplant decision belong to a hepatology team.

Your figures

Updates as you type
Used by MELD-Na and MELD 3.0. Held to the published 125-137 range.
MELD 3.0 only. Held to the published 1.5-3.5 range.
MELD 3.0 adds 1.33 points for female sex.

How this is worked out

4 steps
  1. Bounded inputs: bilirubin 4.2, INR 1.6, creatinine 1.9, sodium 130, albumin 3.
  2. MELD(i) = 10 x [0.957 ln(1.9) + 0.378 ln(4.2) + 1.120 ln(1.6) + 0.643] = 23.3.
  3. MELD 3.0 = 1.33 (female) + 4.56 ln(4.2) + 0.82 x 7 - 0.24 x 7 x ln(4.2) + 9.09 ln(1.6) + 11.14 ln(1.9) + 1.85 x 0.5 - 1.83 x 0.5 x ln(1.9) + 6 = 28.9633.
  4. Rounded to the nearest whole number and held to the 6-40 range used for allocation: 29.
Bounds appliedtable
No value needed bounding.

Its 5 worked examples are re-run on every release, last on 15 September 2026. What changed

Sources and references

5 sources
Kamath PS, Wiesner RH, Malinchoc M, et al. A model to predict survival in patients with end-stage liver disease
Hepatology 2001;33(2):464-470 · MELD = 10 x [0.957 ln(creatinine) + 0.378 ln(bilirubin) + 1.120 ln(INR) + 0.643]; values below 1.0 are set to 1.0.
OPTN Policy 9: Allocation of Livers and Liver-Intestines (MELD-Na and MELD 3.0 calculation, laboratory bounds and the dialysis rule)
Creatinine capped at 4.0 mg/dL for MELD/MELD-Na and 3.0 mg/dL for MELD 3.0; dialysis twice in the prior week or 24 hours of CVVHD sets creatinine to the cap; sodium held to 125-137 mmol/L; scores capped at 40. MELD-Na is applied only when MELD(i) exceeds 11.
Kim WR, Mannalithara A, Heimbach JK, et al. MELD 3.0: the Model for End-Stage Liver Disease updated for the modern era
Gastroenterology 2021;161(6):1887-1895 · MELD 3.0 = 1.33(female) + 4.56 ln(bilirubin) + 0.82(137 - Na) - 0.24(137 - Na) ln(bilirubin) + 9.09 ln(INR) + 11.14 ln(creatinine) + 1.85(3.5 - albumin) - 1.83(3.5 - albumin) ln(creatinine) + 6. Albumin bounded 1.5-3.5 g/dL.
Wiesner R, Edwards E, Freeman R, et al. Model for end-stage liver disease (MELD) and allocation of donor livers
Gastroenterology 2003;124(1):91-96 · Three-month waiting-list mortality by listing MELD: 1.9% below 9, 6.0% at 10-19, 19.6% at 20-29, 52.6% at 30-39 and 71.3% at 40 or above.

What the meld score calculator calculates

Computes the MELD, MELD-Na and MELD 3.0 scores for chronic liver disease from bilirubin, INR, creatinine, sodium and albumin, applying the published laboratory floors, the creatinine ceiling and the dialysis rule, and reports the three-month waiting-list mortality band for the score.

How to use this meld score calculator

Enter Version, Total bilirubin, INR and Serum creatinine. Score updates as you type, and “Use a worked example” loads checked figures you can adjust. Change one figure at a time to see what drives the result.

How the result is worked out

Open “How this is worked out” beside the result for the step-by-step calculation behind Score, Version and Before rounding and capping.

The method follows Kamath PS, Wiesner RH, Malinchoc M, et al. A model to predict survival in patients with end-stage liver disease, OPTN Policy 9: Allocation of Livers and Liver-Intestines (MELD-Na and MELD 3.0 calculation, laboratory bounds and the dialysis rule), Kim WR, Mannalithara A, Heimbach JK, et al. MELD 3.0: the Model for End-Stage Liver Disease updated for the modern era, Wiesner R, Edwards E, Freeman R, et al. Model for end-stage liver disease (MELD) and allocation of donor livers and University of Washington Hepatitis B Online - MELD clinical calculator (input bounds restated).

Original MELD: bilirubin 4.2, INR 1.6, creatinine 1.9 example

With Version: meld, Total bilirubin: 4.2, INR: 1.6, Serum creatinine: 1.9, the calculator returns MELD(i): 23.3, Score: 23. This example is checked against an independent source in the test suite.

What you can compare

Change one input at a time to see how it affects Score, Version and Before rounding and capping. The inputs you can vary are Version, Total bilirubin, INR, Serum creatinine, Serum sodium and Serum albumin.

Understanding Score, Version and Before rounding and capping

A prognostic score used for organ allocation, not a diagnosis or a prognosis for an individual. The mortality figures are waiting-list mortality from a historical OPTN cohort. Interpretation and any transplant decision belong to a hepatology team.

Results are general information, not financial, tax, legal, medical or engineering advice. Check any decision that matters with a qualified professional.

Embed this calculator on your website

Copy this code into any page. The calculator appears with the figures currently entered, sizes itself to fit, and a small credit line links back here. Free, no account, no ads inside it, no tracking of your readers. Set your own figures and fixed fields; Personal removes the credit line, sets your colour and shows you which sites use it.

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Frequently asked questions

How do I calculate my MELD score?

Computes the MELD, MELD-Na and MELD 3.0 scores for chronic liver disease from bilirubin, INR, creatinine, sodium and albumin, applying the published laboratory floors, the creatinine ceiling and the dialysis rule. Open “How this is worked out” beside the result to see each step for your own figures.

What is a good MELD score for your liver?

Computes the MELD, MELD-Na and MELD 3.0 scores for chronic liver disease from bilirubin, INR, creatinine, sodium and albumin, applying the published laboratory floors, the creatinine ceiling and the dialysis rule. On this page it is computed from Version, Total bilirubin and INR and shown as Score, Version and Before rounding and capping.

What is the life expectancy for someone with a MELD score of 15?

On the figures this page opens with — total bilirubin 4.2 mg/dL, INR 1.6 and serum creatinine 1.9 mg/dL — the score is 29. No single number fits everyone: change any figure above and the answer updates as you type, with each step of the arithmetic beside it.

What is the typical MELD score cut-off for liver transplants?

It needs Version, Total bilirubin, INR, Serum creatinine, Serum sodium and Serum albumin. Nothing else is required, and the figures stay in your browser.

What information do I need for the meld score calculator?

You need Version, Total bilirubin, INR, Serum creatinine, Serum sodium, Serum albumin, Sex and Dialysis twice in the past week, or 24 hours of CVVHD. The page opens with default figures that give score of 29, so you can see the scale before entering your own.

What does this meld score calculator show?

It shows Score, Version, Before rounding and capping, MELD(i), Three-month waiting-list mortality, Mortality band, Bilirubin used and INR used, with the working and any warnings for your entries.

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