Compression Ignition Addict
Join Date: Sep 2012
Location: The 'Sip
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With any used vehicle, it's a roll of the dice. You could get a no-problem gem or a money pit.
You can go ahead and add about $2200 to the price of the truck for deletes, fluids and filters. I would actually consider replacing the stock intake as well if it's seen nearly 200k miles (I can't imagine what all is in there).
If you don't mind the possibility of having to get a transmission, radiator, etc. right off the bat, then buy it.
Personally, I try not to buy high-mileage vehicles unless they are dirt cheap. The main reason is because they are hard to sell when it's time. If you plan on keeping the truck forever though, that probably isn't a concern.
For the record, there's a 6.4 on autotrader right now with 345,000 miles. So, they can run a long time.
It may be your only purpose in life is to serve as a warning for others.