Jamie,
I have the Aisin with the 4:10. I traded my
2013 2500 in for our 2015 3500DRW when I realized I was over my GVWR and GAWR with our current camper. I don't know if I will ever need or want the extra 5500lbs GCWR or 5500lbs Max Trailer Weight that the 4:10 gives me over the 3:73 gears but its nice to have it available to me. I don't want my truck to limit our choices when buying any future 5ers so I went with the 4:10. There are 5ers out there with weights of 24000lbs which is over the 3:73 ratings.
To answer your questions on towing, mpg etc. With the 4:10 I consistently get Highway 15.2mpg, Town 13.3mpg without camper. When towing camper I consistently get 11.5mpg at 60mph and 10mpg at 70mph. I know slower is safer, my tires are rated for 75mph, I'm letting you know the mpg I get and it does vary based on towing speed.
Tows our Gateway great, very strong and stable. When I was looking to buy, the trucks available for purchase in the cab/model I wanted didn't have the air suspension installed. So I can't comment on that option. I did install the firestone airbags on the rear. I purchased the truck just before the Goshen rally last summer and wasn't sure if i would need the bags or not. We had only towed the camper twice with this truck before heading to the rally and never fully loaded for 5weeks of summer fun so I installed the airbags. I have never needed them. Just run around at min. pressure all the time.
I went with the Big Horn trim level. There was a big horn and a top of the Line trim model available on the lot. Ours was 15K less and I liked the Big Horn front grill and I don't like the high end grill.
Don't know which hitch you have but our Curt mounted easily into the bed/frame mounting system Ram uses. No drilling holes, easy install.