a 4bt with a few basic mods will get you over 200hp and something like 480-500ftlbs in a 4bt. Thats more than a stock 6bt 12v! Also less weight, less parts, less worry!
And 200-220hp in a 4bt is nothing at all, and it won't effect reliablity that much at all! Cost is less for a rebuild & turbos are cheaper because the smaller motor! Most people are picking up the stock hy35's off the 6bts (which go extremely cheap cause 6bt guys upgrade) And that turbo will be more than enough for 200-220hp.
Weight is a big factor to. A full dressed 6bt weights something like 980-1100lbs. You will need a custom leaf pack up front for sure! More weight - more power to move it! A simple 4bt with a slightly larger snail, a wee bit more fuel & a nice 4" exhaust with an intercooler will tow just about anything & get better mileage & be equal if not better than a stock 12v.
Think cheap here as well! Most dodge, Dmax & powerstroke guys got a 4" exhuast factory and they upgrade to 5"...craigslist hunt for their old 4" and cut & weld, make it work for you! A cheap intercooler..which ever will fit! Stock 6bt turbo, slightly more fuel & 3200 gov springs & your good to go. That setup is actually capable of more than 200 but I'd keep it around there for reliabilty sake.