Definition of Acute tubular necrosis. Acute tubular necrosis: A severe form of acute renal failure that develops in people with severe illnesses (such as sepsis) or with very low blood pressure. Patients may need dialysis. Kidney function often improves if the underlying disease is successfully treated. Abbreviated ATN.
Buying a tow dolly can cost  $1,000-$4,500, depending on towing capacity, size, quality of materials and other options. For example, the Roadmaster RM3477 Tow Dolly with built-in electric brakes sells for $1,600 -$2,000, and can tow a vehicle weighing up to 4,250 pounds.
Generally, a typical tow of five miles or less might cost $35-$125; a 40-mile tow could be $125-$275; a 100-mile tow could cost $275-$600; and having a vehicle towed hundreds of miles could cost $1,000 or more. Some companies charge 20%-25% more for towing a truck or other heavy-duty vehicle. For example, Harris Towing Service & Auto Repair Center in Delaware has a flat rate of $60 for local towing; long-distance is a $75 hook-up fee plus $3.50 per mile; and towing a heavy-duty vehicle has a $150-$175 hook-up fee plus $5.50-$7.00 per mile.