I have two manual focus P645's, both bought used from KEH over the past year. I had wanted one since they were introduced in 1984 but could never afford them until recently when the bottom fell out of the medium format camera market. "Bargain" KEH prices are around $200 for body and 120 insert, as posted previously. When I was in the market for a second body to use as a backup, I had to be patient for a manual focus model to show up on KEH. They apparently sell well.
First of all, the cameras are pretty simple once you know what the buttons do but I advise you to go to the Pentax website and print out the instruction manual before trying to use the camera. There is a small lithium battery in the bottom of the camera that probably should be replaced. The purpose is to hold information in the camera should the main AA batteries go dead or be changed mid-roll. Most people never change this battery because it's purpose is unlikely to be an issue. It's kind of tricky to get the cover off but it can be done with a bent paper clip and pliers. You will also have to adjust the eyepiece to fit your vision--if you don't, everything will be out-of-focus when you look through the camera.
The 75/2.8 lens that is standard with the Pentax 645 it is the sharpest, best resolving lens I've ever used. I've read comments about this lens on several websites and it is universally praised. Even Hasselblad and Rollei users who also have used the P645 have commented on how good this lens is. If it is not damaged, it will serve you well.
The camera is built like a tank with a plastic skin. It is electronically controlled. Unless there is something wrong with the electronic connections, it is unlikely it will need any service. Of course, nothing is foolproof and it could have something wrong with it so shoot a few rolls of film to check out exposure accuracy, etc. From what I've heard from other users, these cameras will take a lot of abuse and still work properly.
The Pentax has excellent ergonomics. I love using it. It handles like a big, boxy 35mm. It's heavy but manageable. The negatives are a joy to print in the darkroom. There are a lot of lenses available for this camera. It will take the autofocus lenses as well as the older manual focus lenses but, of course, it will not autofocus them. I have the 35mm, 45mm, 75mm and 150mm and there's not a loser in the bunch.
Give it a good workout. If it suits your style, I think you'll enjoy using it.