-service repairs for 190, 000 miles

The Manufacturer Recommended Services stop at 120,000 miles. From there you have to consider not only what is listed in the 120,000 mile service but other items like, completely flushing and changing the brake fluid. Some manufacturers may list this, but most don't. I would certainly recommend EVERY fluid be changed with the mileage you have. Inspect all safety items such as;
The Air Bag System which includes the seat belts, (this is an entire circuit that only a certified technician can inspect).
The Anti-Lock Brake System
The mechanical components of the brake system, master cylinder, booster, calipers, emergency brake cables, etc.
Flush and fill the power steering system and inspect all seals, suspension bushings and alignment of vehicle.
Tire rebalance and rotate with alignment.
The fuel system hoses, fittings, safety inertia switch, filter(s), fuel pressure, etc.
All rubber components such as hoses, belts, bushings, boots.
Axle/CV condition
Wheel bearings
There are probably some other, "Over-Mileage" items that may need to be looked at.
It sounds like over-kill, but safety is certainly important and the old saying, "$100 in maintenance will save you $1000 in repairs.", Is very true.
I am also providing you with the manufacturers' suggested Severe use 120,000 mile service and an estimate based on this.
Unless you only drive on the highway I would suggest going buy this schedule. Also, by the time the mileage is as high as your car has, the services are the same.
I based it on the 3.0 L V-6.
Parts are based on Distributor Cap, Rotor, Spark Plugs and Air Filter. These are basic engine tune up and not in manufacturer list, In the list are; Automatic Tranmission Fluid, Engine Oil and Filter and the Timing Belt. The estimate I will give you for these items will be based on standard, Non-Synthetic Fluids which cost more and cost depends on shop used. Parts prices are based on on-line pricing which tends to be much lower than a dealership, but Acura parts costs cannot be estimated by anyone but Acura. The true parts cost is based on the quality you desire to use and is likely to be near an average of the two parts estimates. The left column is the cost saving of doing it yourself. Labor Rates vary dependent upon use of private facility, (Low End) or dealership, (High End).
DIY Cost Shop Cost
Parts $169.52 $200.03
Time 13.7 hrs 8.6 hrs
Labor Rate $55.08/hr Low End $120.00 High End
Labor $473.69 $1032.00
Total
from $169.52 $673.72 $1232.03

On items that I first mentioned such as, "Flush and replace the power steering fluid", you will see this listed in the manufacturer service list. Whether you change the fluid or not is a judgment call based on safety, how long you plan to keep the vehicle, etc. When the fluid is drained out and changed it can be inspected for contaminants such as metal particles which indicate the condition of the power steering system. Meaning, if there is metal in the system, something is failing such as the pump, rack and pinion, etc. And just topping off or looking at the condition of the fluid in the reservoir will not give you this level of knowledge of the sytems' condition. The same goes for any of the fluids in the car.
Trying to decide on maintenance when costs are this high and so much is involved can be tough. So, look it through, let me know if you need more information or different information and we can work towards an estimate that, "Is tailored to your needs" and will give you a better idea of what needs to be done. However, I am still limited on being able to quote prices on some things.

If you have any more questions, I will look for your replay and get back ASAP.