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The wheel bolt pattern for a 2009 Ford Flex is 5 X 114.3mm, also referred to as 5 X 4.5 inches. It is a widely used pattern on American vehicles, so you should easily find a new set for it. Prices typically range from $20 to $30 per wheel, or between $70 and $90 for a complete set for your vehicle. If you plan on removing a wheel from this car to work underneath it, make sure to use a 2 1/2 or 3-ton jack, as the vehicle weighs just a bit over 2 tons.
The wheel bolt pattern specified by the maker of the 2009 Ford Flex is PCD 5x114.3 (5x4.5).