Is the 2019 Acura MDX reliable?

The 2019 Acura MDX has 299 complaints filed with NHTSA (2.8x the segment average). Our reliability verdict: below-average. Most common issue: ENGINE problems.

What are common problems with the 2019 Acura MDX?

Top problems: ENGINE (76 complaints, avg repair $500); FUEL SYSTEM (41 complaints, avg repair $500); ELECTRICAL (37 complaints, avg repair $500). Issues typically appear around 50K miles.

Are there any recalls on the 2019 Acura MDX?

Yes, there are 9 recall(s): FUEL SYSTEM, GASOLINE:DELIVERY:FUEL PUMP, EXTERIOR LIGHTING:TAIL LIGHTS, ENGINE AND ENGINE COOLING:ENGINE:GASOLINE:BELTS AND ASSOCIATED PULLEYS, SERVICE BRAKES, HYDRAULIC:FOUNDATION COMPONENTS:DISC:CALIPER, ENGINE AND ENGINE COOLING:ENGINE:HARD PARTS INTERNAL/MECHANICAL, FUEL SYSTEM, GASOLINE:DELIVERY:FUEL PUMP, EXTERIOR LIGHTING, AIR BAGS:SENSOR:OCCUPANT CLASSIFICATION:FRONT PASSENGER, STRUCTURE:FRAME AND MEMBERS. Contact any Acura dealer to verify if recalls have been completed on your specific vehicle.

How much does it cost to fuel a 2019 Acura MDX?

The 2019 Acura MDX gets 22 MPG combined. At current US average gas prices, driving 12,000 miles per year costs roughly $2182. See the interactive fuel cost calculator on this page for state-specific pricing.

Is the 2019 Acura MDX often stolen?

Theft risk tier for the Acura MDX: low. HLDI insurance loss data suggests lower-than-average theft claims for this model.

How much does it cost to insure a 2019 Acura MDX?

Estimated US average full-coverage insurance for the 2019 Acura MDX is approximately $1,912/year (suv-luxury class). Actual quotes vary heavily by state, driver age, driving record, and credit — see the interactive insurance estimator on this page for state-specific pricing.

2019 Acura MDX

Problems, Recalls & Reliability Report

Below Average

Quick Summary

The 2019 Acura MDX has 299 owner complaints filed with NHTSA — that's 2.8x the segment average of 105. The most common issue is engine problems (25% of all complaints), specifically: while driving approx. 40 mph and slowing to turn into gas station, the car completely turned off. i was unable to put car in neutral or get off of road. tow truck called and had to be drug onto flatbed. garage replaced battery and still unable to start. needed to replace timing belt, tensioner pulle. There are 9 recalls issued for this model year. ⚠️ 4 fire reports filed.

4 fire reports 5 crash reports 6 injuries

299

Total Complaints

Recalls Issued

5/5

Safety Stars

2.8x

vs Segment Avg

Known Problems(top 5 of 8)

ENGINE

76 complaints

25%

• WHILE DRIVING APPROX. 40 MPH AND SLOWING TO TURN INTO GAS STATION, THE CAR COMPLETELY TURNED OFF. I WAS UNABLE TO PUT CAR IN NEUTRAL OR GET OFF OF ROAD. TOW TRUCK CALLED AND HAD TO BE DRUG ONTO FLATBED. GARAGE REPLACED BATTERY AND STILL UNABLE TO START. NEEDED TO REPLACE TIMING BELT, TENSIONER PULLE
• THE ENGINE AUTO STOP OR IDLE STOP IS A SAFETY HAZARD. THE ENGINE SHUTS OFF PREVENTING A QUICK ACCELERATION FROM AN INTERSECTION OR OTHER HAZARD. THE MANUFACTURE SHOULD OFFER A METHOD TO PERMANENTLY DISABLE THIS HAZARD.I WAS NEARLY T-BONED WHEN TRYING TO MAKE A LH TURN AT A BUSY INTERSECTION BECAUSE
• TL* THE CONTACT OWNS A 2019 ACURA MDX. THE CONTACT STATED THAT WHILE HER HUSBAND WAS DRIVING APPROXIMATELY 55 MPH, THE VEHICLE LOSS MOTIVE POWER AND STALLED WITH SEVERAL UNKNOWN WARNING LIGHTS ILLUMINATED. THE VEHICLE WAS RESTARTED AND WAS DRIVEN TO THE RESIDENCE IN LIMP MODE. THE VEHICLE WAS THEN T

Typical onset: 50K miles Est. repair: $500🔥 2 fire reports

“WHILE DRIVING APPROX. 40 MPH AND SLOWING TO TURN INTO GAS STATION, THE CAR COMPLETELY TURNED OFF. I WAS UNABLE TO PUT CAR IN NEUTRAL OR GET OFF OF ROAD. TOW TRUCK CALLED AND HAD TO BE DRUG ONTO FLATBED. GARAGE REPLACED BATTERY AND STILL UNABLE TO START. NEEDED TO REPLACE TIMING BELT, TENSIONER PULLE”

— NHTSA complaint filing

When Problems Appear on the 2019 Acura MDX

Based on 74 owner complaints that included an odometer reading. Median mileage at time of complaint: 20K miles. Most complaints cluster in the 0-30K miles range.

Overall complaint distribution by mileage

0-30K

30-60K

60-100K

100-150K

150-200K

200K+

ELECTRICAL

In line with typicalmedian 19K mi · 10 reports

0-30K

30-60K

60-100K

100-150K

150-200K

200K+

SPEED CONTROL

In line with typicalmedian 22K mi · 7 reports

0-30K

30-60K

60-100K

100-150K

150-200K

200K+

VISIBILITY

In line with typicalmedian 200 mi · 7 reports

0-30K

30-60K

60-100K

100-150K

150-200K

200K+

BRAKES

In line with typicalmedian 11K mi · 6 reports

0-30K

30-60K

60-100K

100-150K

150-200K

200K+

TRANSMISSION

In line with typicalmedian 27K mi · 6 reports

0-30K

30-60K

60-100K

100-150K

150-200K

200K+

ENGINE

Later than typicalmedian 42K mi · 17 reports

0-30K

30-60K

60-100K

100-150K

150-200K

200K+

Mileage figures are self-reported by owners in NHTSA complaint filings. Peak bucket = the mileage range with the most complaints for that component; it reflects when owners noticed and reported problems, not necessarily when the fault first occurred.

Recalls (9)

FUEL SYSTEM, GASOLINE:DELIVERY:FUEL PUMP25/03/2021

Honda (American Honda Motor Co.) is recalling certain 2019-2020 Acura MDX, MDX Sport Hybrid, RDX, TLX, Honda Accord, Civic Hatchback, Insight, 2019 Acura ILX, Honda Accord Hybrid, Civic Coupe, Civic Coupe Si, Civic Sedan, Civic Sedan Si, Civic Type R, Fit, HR-V, Odyssey, Passport, Pilot and Ridgeline, and 2018-2019 CR-V vehicles. The low-pressure fuel pump inside the fuel tank may fail.

Risk: Fuel pump failure can cause an engine stall while driving, increasing the risk of a crash.

Fix: Honda will notify owners, and dealers will replace the fuel pump assembly, free of charge. Owner letters were mailed May 18, 2021. Owners may contact Honda customer service at 1-888-234-2138. Note: This recall is an expansion of recall 20V-314.

Low theft risk

Low theft rates typically correlate with lower comprehensive-coverage insurance premiums.

Source: NICB Hot Wheels 2025 report + HLDI theft loss studies. Model-year ranking; not all years of this model have identical risk.

Fuel Cost Calculator for 2019 Acura MDX

Live EIA prices

Annual miles driven: 12,000

Your state (affects local gasoline price)

Per year

$2,182

Per month

$182

Per mile

18.2¢

MPG

City driving (worst-case MPG)

$2,527/yr

Highway driving (best-case MPG)

$1,847/yr

Based on EPA fuel-economy ratings and EIA weekly retail prices (2026-07-20). Real-world cost varies with driving style, trim/engine, terrain, and traffic.

5-Year Gas Price History

EIA weekly retail data · 2021 → today

Show:

Current

$4.00

5-year low

$2.78

5-year high

$5.01

Since 2021

+27%

Source: US Energy Information Administration weekly retail gasoline prices.

Estimated Insurance Cost for 2019 Acura MDX

Estimate only, not a quote. Modeled from NAIC + HLDI averages for a hypothetical 35-year-old driver with clean record + full coverage. Your actual quote depends heavily on your age, driving history, credit, ZIP code, and insurer.

Your state (affects local premium average)

Full coverage / year

$1,912

Full coverage / month

$159

Liability only / year

$688

vs US avg

+14%

How this estimate is calculated

US base full-coverage premium$1674

× state (US)1.00x

× vehicle class (suv-luxury)1.35x

× theft risk0.90x

× safety rating0.94x

× vehicle age1.00x

= Full coverage estimate$1912

Coverage assumed: 100/300/100 liability + comprehensive/collision, $500 deductibles. Data sources: NAIC 2024 + HLDI loss studies.

Maintenance & Warranty

Recommended Acura MDX Service Intervals

Oil change

8K mi / 12 mo

Tire rotation

8K mi

Brake fluid

36 months

Transmission fluid

30K mi

Engine coolant

60K mi

Spark plugs

100K mi

Cabin air filter

15K mi

Engine air filter

30K mi

Differential (AWD/4WD)

30K mi

Uses Maintenance Minder — actual intervals adjust based on driving conditions. Values shown are typical.

"Severe service" conditions (heavy towing, extreme temps, city stop-and-go) typically halve these intervals. Always consult your vehicle's owner's manual for the authoritative schedule.

Acura New-Vehicle Warranty Coverage

Bumper-to-bumper (basic)

4 yr / 50K mi

Powertrain

6 yr / 70K mi

Hybrid/EV battery

8 yr / 100K mi

Corrosion (rust perforation)

5 yr / unlimited mi

Roadside assistance

4 yr / 50K mi

Includes 3 years complimentary maintenance for 2025+

These are the terms for a new Acura. If you're buying a used 2019 MDX, remaining coverage is usually pro-rated from the vehicle's original in-service date. Not all coverage transfers between owners — check with a Acura dealer for VIN-specific remaining warranty.

Estimated Repair Costs

ENGINE(~50K mi)

$500

FUEL SYSTEM(~50K mi)

$500

ELECTRICAL(~50K mi)

$500

DRIVER ASSIST/CAMERAS(~50K mi)

$500

TRANSMISSION(~50K mi)

$500

Estimates based on average reported repair costs. Actual costs vary by location, shop, and severity.

🔍 Pre-Purchase Inspection Checklist

Based on 299 owner complaints for this specific year, here's what to check or ask about:

☐
ENGINE: WHILE DRIVING APPROX. 40 MPH AND SLOWING TO TURN INTO GAS STATION, THE CAR COMPLETELY TURNED OFF. I WAS UNABLE TO PUT CAR IN NEUTRAL OR GET OFF OF ROAD. TOW TRUCK CALLED AND HAD TO BE DRUG ONTO FLATBED. GARAGE REPLACED BATTERY AND STILL UNABLE TO START. NEEDED TO REPLACE TIMING BELT, TENSIONER PULLE
Typically appears around 50K miles. Repair cost ~$500
☐
FUEL SYSTEM: THE CAR CAUGHT FIRE SPONTANEOUSLY IN THE PARKING AREA. WE CALLED 911 AND THE FIRE BRIGADE TOOK ABOUT AN HOUR TO GET THE FIRE UNDER CONTROL. WE HAD GONE TO CHICKFILA (ABOUT 6 MILES TOTAL DISTANCE) AND THE CAR HAD BEEN PARKED FOR MAYBE 5 MINUTES WHEN WE SAW A FIRE ENGULF THE FRONT PORTION. I PUT WATER
Typically appears around 50K miles. Repair cost ~$500
☐
ELECTRICAL: WHILE DRIVING APPROX. 40 MPH AND SLOWING TO TURN INTO GAS STATION, THE CAR COMPLETELY TURNED OFF. I WAS UNABLE TO PUT CAR IN NEUTRAL OR GET OFF OF ROAD. TOW TRUCK CALLED AND HAD TO BE DRUG ONTO FLATBED. GARAGE REPLACED BATTERY AND STILL UNABLE TO START. NEEDED TO REPLACE TIMING BELT, TENSIONER PULLE
Typically appears around 50K miles. Repair cost ~$500
☐
DRIVER ASSIST/CAMERAS: TL* THE CONTACT OWNS A 2019 ACURA MDX. THE CONTACT STATED THAT WHILE DRIVING WITH THE CRUISE CONTROL ENGAGED, WITHOUT WARNING THE AUTOMATIC EMERGENCY BRAKE ENGAGED, CAUSING THE VEHICLE TO COME TO A COMPLETE STOP. THE CONTACT STATED THAT THE FAILURE WAS EXPERIENCED MOST OFTEN WITH A PASSING VEHICLE O
Typically appears around 50K miles. Repair cost ~$500
☐
RECALLS: Verify all 9 recalls have been completed — free at any Acura dealer
☐
General: Get a pre-purchase inspection from an independent mechanic ($100-$200)