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The hitch receiver on a 2019 Dodge Ram 3500 truck is bigger than the standard size at 2.5 inches in diameter. It's designed this way to handle towing up to 20,000 lbs. Most models of this truck will come with the larger hitch already installed, but if you have a model without it, you can expect to pay anywhere from $250 to $600 for the parts and $300 to $450 for labor to get it installed.
For the 2019 Ram 3500, it is advised to use a 2.5-inch receiver hitch, which can handle up to 20,000 pounds for towing.