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$44,300 - $60,050
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2019 Acura MDX Review

The 2019 Acura MDX finishes in the middle of our luxury midsize SUV rankings. It's spacious and loaded with technology, but it has a below-average predicted reliability rating, and some rivals are more athletic and upscale.

Pros & Cons

  • Lots of tech features
  • Good gas mileage
  • Composed handling
  • Competitors feel more luxurious inside
  • Ride not as smooth as some rivals'
  • Subpar predicted reliability rating

New for 2019

  • MDX A-Spec package
  • Minor revisions to transmission and engine stop-start system




Critics' Rating: 9.5
Performance: 8.2
Interior: 7.7
Total Cost of Ownership: 7.8
Safety: 9.8
J.D. Power Ratings Logo

2019 Acura MDX Overview

Is the 2019 Acura MDX a Good Used SUV?

Yes, the 2019 MDX is a good used luxury midsize SUV. The MDX features a solid V6 engine and composed handling, though some competitors are more athletic. Inside, it has comfortable seats, and there are plenty of standard and available tech features. This Acura has a well-built interior, but it isn't quite as posh or stylish as some rivals' cabins. Also, its predicted reliability rating is below average.

Why You Can Trust Us

We’ve researched 46 Acura MDX reviews, as well as hard data points like reliability ratings and cost of ownership estimates, to help you make the best car-buying decision possible.

U.S. News & World Report has been ranking the best cars, trucks, and SUVs since 2007, and our staff has more than 75 years’ worth of auto industry experience combined. To keep our reviews unbiased, we don’t accept expensive gifts or trips from car companies, and an outside company manages our advertising.

How Much is the 2019 Acura MDX?

Based on listings for the 2019 Acura MDX, the average list price is $31,576. Prices range from $44,300 to $60,050 and vary depending on the vehicle’s condition, mileage, features, and location.

See the Best Used Car Deals »

How Much Does the 2019 Acura MDX Cost to Own?

The 2019 MDX’s five-year costs for gas, insurance, taxes, fees, repairs, and maintenance are projected to be about $33,950, or $6,790 per year. That’s below average for the class.

2018 vs. 2019 Acura MDX: What's the Difference?

The 2019 MDX is largely the same as the 2018 model. For 2019, Acura made minor updates to the transmission and the engine's stop-start system, and the A-Spec appearance package became available.

Compare the 2018 and 2019 MDX »

Here are the key changes for the Acura MDX over the last few years:

  • 2016: nine-speed automatic transmission and additional driver assistance features became available
  • 2017: refreshed exterior styling; AcuraWatch suite of active safety features made standard
  • 2018: updated infotainment system; Apple CarPlay and Android Auto added to standard features list (previously unavailable)
  • 2019: A-Spec package became available; minor updates to engine start-stop system and transmission

If you're considering an older model, be sure to read our 2016 MDX, 2017 MDX, and 2018 MDX reviews to help make your decision. Also, check out our Best New Car Deals and Best New Car Lease Deals pages to learn about savings and discounts you can find on new vehicles.

How Reliable Is the 2019 Acura MDX?

The 2019 MDX has a below-average predicted reliability rating of 2.5 out of five.

Read more about MDX reliability »

2019 Acura MDX Recalls

There have been 3 safety recalls issued from NHTSA.

  • Summary: Honda (American Honda Motor Co.) is recalling certain 2018-2019 Acura MDX and Honda Pilot vehicles and 2019 Acura RLX, RLX Sport Hybrid, TLX and Honda Odyssey and Ridgeline vehicles. The timing belt teeth may separate from the belt.
  • Potential Number of Units Affected: 93946
  • Consequence: Teeth separation from the timing belt may result in an engine stall, increasing the risk of crash.
  • Remedy: Honda will notify owners, and dealers will inspect the vehicle and replace any affected timing belt free of charge. Vehicles receiving a replacement timing belt will also have the engine inspected and any damaged components will be replaced for free. The recall began June 7, 2019. Honda owners may contact customer service at 1-888-234-2138. Honda's number for this recall is L4M. Acura owners may contact customer service at 1-888-234-2138. Acura's number for this recall is Z4L.
  • Dates of Manufacture: JUL 11, 2018 to DEC 02, 2018
  • Manufacturer Recall Number: L4M, Z4L
  • NHTSA Campaign ID: 19V298000
  • Summary: Honda (American Honda Motor Co.) is recalling certain 2014-2019 Acura MDX and 2017-2019 Acura MDX Sport Hybrid vehicles. Moisture may enter the tailgate lid lights, possibly causing a loss of the tailgate lid lights and the taillights.
  • Potential Number of Units Affected: 322897
  • Consequence: Loss of the taillights reduces the vehicle's visibility, increasing the risk of crash.
  • Remedy: Acura will notify owners, and dealers will modify the tailgate lid lights and install updated gaskets and a wiring sub-harness or will replace both tailgate lid lights. The repairs will be performed free of charge. The recall began May 7, 2019. Owners may contact Acura customer service at 1-888-234-2138. Acura's number for this recall is M49.
  • Dates of Manufacture: APR 10, 2018 to OCT 21, 2018
  • Manufacturer Recall Number: M49
  • NHTSA Campaign ID: 19V256000
  • Summary: Honda (American Honda Motor Co.) is recalling certain 2017-2019 Acura MDX, 2017-2018 Acura MDX Sport Hybrid, 2018-2019 Honda HR-V and Honda Odyssey, and 2016 Honda HR-V vehicles. The rear brake caliper pistons may have an insufficient coating, causing gas pockets to form, reducing brake performance. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard (FMVSS) number 135, "Light Vehicle Brake Systems."
  • Potential Number of Units Affected: 64785
  • Consequence: A reduction of braking performance increases the risk of a crash.
  • Remedy: Owners will be notified, and Honda or Acura dealers will bleed the brakes, free of charge. The recall began December 11, 2018. Owners may contact Honda customer service at 1-888-234-2138. Honda's numbers for this recall are C31 and L30.
  • Dates of Manufacture: JUN 26, 2018 to SEP 03, 2018
  • Manufacturer Recall Number: C31, L30
  • NHTSA Campaign ID: 18V777000

See more information on Acura MDX safety recalls »

Which Used Acura MDX Trim Is Right for Me?

Instead of having trim levels, the 2019 Acura MDX is available with option packages that add extra features. All MDX models feature a 290-horsepower V6 engine and a nine-speed automatic transmission.

Finding the right model depends on what you want in your MDX. The base setup is well-equipped and makes a fine choice for many buyers. The Technology package adds a few additional driver assistance features. The MDX A-Spec package includes some styling upgrades. The Advance package adds premium comfort features.

  • Acura MDX: The MDX comes standard with a dual-screen infotainment system, satellite radio, Bluetooth, six USB ports, Apple CarPlay, Android Auto, leather upholstery, heated front seats, a rearview camera, the AcuraWatch suite of safety features, and a moonroof.
  • Acura MDX With Technology Package: The MDX with Technology package adds GPS-linked climate control, a 10-speaker ELS audio system, HD Radio, navigation, blind spot monitoring, front and rear parking sensors, and rear cross traffic alert.
  • Acura MDX With A-Spec Package: The MDX with A-Spec requires you to get the Technology package and Acura's Super Handling All-Wheel Drive (SH-AWD). The A-Spec package adds styling upgrades, ventilated front seats, and Alcantara leather trim throughout the interior. A-Spec models are not available with the Advance or Entertainment packages.
  • Acura MDX With Advance Package: Like the other packages, the MDX with Advance package requires the purchase of the Technology package. Standard features include premium Milano leather upholstery, ventilated front seats, second-row captain’s chairs, heated second-row seats, a heated steering wheel, two third-row USB ports, a head-up warning, and a surround-view parking camera system.
  • Acura MDX With Entertainment Package: Models with the Entertainment package also have the Technology package. The MDX with Entertainment package comes with an 11-speaker ELS audio system, a 110-volt household-style power outlet, heated second-row captain's chairs, and a rear-seat entertainment system with a 9-inch screen. You can also combine the Entertainment package with the Advance package, though it still requires you to have the Technology package. In this setup, you get a 12-speaker ELS audio system, second-row bench seating, and a rear-seat entertainment system with a 16.2-inch display and HDMI compatibility.

See 2019 Acura MDX trims and specs »

What Does Acura's Certified Pre-Owned Warranty Cover?

Acura offers a certified pre-owned program for cars six years old or less and with fewer than 80,000 miles. Eligibility is determined by the vehicle’s initial sale date. Qualifying vehicles get a limited warranty that is good for up to two years or 100,000 miles after the four-year/50,000-mile new-car warranty has expired. Acura covers the powertrain for seven years or 100,000 miles. These CPO models must pass a 182-point inspection. Additional benefits are available, including roadside assistance and the first scheduled maintenance, so read Acura’s warranty page carefully.

Among luxury car manufacturers, Acura’s CPO program is about average, according to our research. You’ll find better programs from Lexus, Audi, and Infiniti.

See the best CPO programs »

How Safe Is the MDX?

The National Highway Traffic Safety Administration gave the 2019 MDX an overall safety rating of five out of five stars, with five stars in the frontal and side crash tests and four stars in the rollover test.

The Insurance Institute for Highway Safety named the 2019 MDX a Top Safety Pick. The MDX earned the highest rating of Good in the five crash tests conducted. The MDX's headlights received the second-highest rating of Acceptable for how well they illuminate the road ahead.

The IIHS uses a different scale for grading collision avoidance features. The MDX earned the top rating of Superior for its standard front crash prevention system.

Standard advanced safety features:

  • Rearview camera
  • Lane departure warning
  • Lane keep assist
  • Road departure mitigation
  • Forward collision warning
  • Automatic emergency braking
  • Adaptive cruise control

Available advanced safety features:        

  • Front and rear parking sensors
  • Surround-view parking camera system
  • Blind spot monitoring
  • Rear cross traffic alert
  • Head-up warning for emergency braking

See MDX safety scores »

2019 Acura MDX Versus the Competition

Which Is Better: 2019 Acura MDX or 2019 Lexus RX 350?

The 2019 Lexus RX 350 is one of our highest-rated luxury midsize SUVs, and it's a better vehicle than the MDX, though both are good. Both SUVs can seat up to seven passengers and are equipped with many standard safety features. The MDX provides more cargo space and a few more tech features, like Android Auto and Apple CarPlay. On the other hand, the Lexus has nicer cabin materials and earns a much higher predicted reliability rating than the MDX.

Which Is Better: 2019 Acura MDX or 2019 Audi Q7?

The 2019 Audi Q7 is a better pick than the MDX for most buyers. The Q7 has a much nicer interior with higher-quality materials, and its infotainment system is easier to use. The Audi also offers a smoother ride than the Acura, in addition to sportier handling. Additionally, all Q7s come standard with all-wheel drive, which is only offered as an option in the MDX.

Compare the MDX, RX 350, and Q7 »

2019 MDX Performance

How Does the 2019 Acura MDX Drive?

The MDX's V6 engine provides ample power for just about any driving situation, but it's not as impressive as some rivals' power plants. This Acura isn't the sportiest SUV in the class, but it handles with composure and leans minimally when taking turns. All-wheel-drive models also boast excellent road grip. The ride is comfortable, but some competitors do a better job of cushioning road impacts.

  • Base engine: 290-horsepower 3.5-liter V6
  • Drivetrain: standard front-wheel drive; available all-wheel drive
  • Transmission: nine-speed automatic
Does the 2019 Acura MDX Get Good Gas Mileage?

The MDX is one of the most fuel-efficient vehicles in the luxury midsize SUV class. We review the 2019 Acura MDX Hybrid separately.

  • FWD: 20/27 mpg city/highway
  • AWD: 19/26 mpg
  • AWD w/A-Spec package: 19/25 mpg
2019 Acura MDX Towing Capacity

The MDX can tow up to 5,000 pounds when properly equipped.

Read more about MDX performance »

2019 MDX Interior

How Many People Does the 2019 MDX Seat?

The 2019 MDX seats up to seven people in three rows. The cabin looks good and features plenty of quality materials, but it's still a step below the most luxurious interiors in the class. The front-row seats are comfortable, with plenty of head- and legroom. The second-row seats aren't quite as spacious, but most people can ride comfortably there. As with many three-row SUVs, the MDX's rearmost seats are a bit cramped and should probably be left to kids.

Standard seating features:

  • Leather upholstery
  • Power-adjustable front seats
  • Heated front seats
  • Sliding and reclining second-row seats

Available seating features:

  • Milano leather upholstery
  • Ventilated front seats
  • Second-row captain's chairs
  • Heated second-row seats
  • Heated steering wheel
How Many Child Car Seats Fit in the 2019 Acura MDX?

The 2019 MDX has three complete sets of LATCH car-seat connectors for the second-row seats, as well as upper tethers for the third-row outboard seats. The Insurance Institute for Highway Safety gave this LATCH system the second-highest rating of Acceptable for ease of use. The tether anchors can be difficult to locate, and the lower anchors may be set too deeply in the seats.

2019 Acura MDX Features

The MDX comes with plenty of features, but you might find the dual-screen infotainment setup a bit unwieldy at first. The screens control different functions, so it'll likely take some practice to figure out what each screen does. The system works well, though, so you'll likely enjoy it once you master it.

  • Standard infotainment features: a dual-screen infotainment system with an 8-inch upper display and a 7-inch lower touch screen, six USB ports, Bluetooth, an eight-speaker audio system, satellite radio, Apple CarPlay, Android Auto, and Siri Eyes Free
  • Available infotainment features: navigation, HD Radio, two third-row USB ports, and a 10-, 11-, or 12-speaker ELS audio system
  • Additional standard features: a moonroof and tri-zone automatic climate control
  • Other available features: remote start, GPS-linked climate control, a 110-volt household-style power outlet, and a 9-inch or 16.2-inch rear-seat entertainment system with two wireless headphones

See 2019 Acura MDX specs »

Read more about MDX interior »

2019 Acura MDX Dimensions

Acura MDX Cargo Space

This Acura's cargo capacity is typical for a luxury midsize SUV. It provides 15 cubic feet of space behind the third row, 38.4 cubic feet with the third row folded down, and 68.4 cubic feet with the second and third rows folded down.

2019 Acura MDX Length and Weight
  • Length: 16 feet, 4 inches
  • Curb weight: 4,032 to 4,350 pounds

Where Was the 2019 Acura MDX Built?

Acura built the 2019 MDX in Ohio and Alabama.

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