2024 Acura RDX - Premium or is regular ok?

Check the octane level of the Costco premium gas. According to the post above from @LoudThunder, your RDX runs best on 91 octane, and that is premium, not mid-grade. Some states have 93 octane instead of 91 for premium, and you should use that. Mid-grade is almost always 89 octane and while your car can run on that, it isn’t optimum. Here’s a list of octane levels for gasoline by state. I’d continue to use Costco 91 octane premium.