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.
Towing charges can be $100-$800 or more; these are paid to the private tow company, but local laws may set the allowable maximum. If the vehicle is disabled, there may be a flatbed or dolly fee of $40-$150 or more. Storage fees can be $10-$100 a day, depending on local regulations.