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is there a limit? Can you legally enforce a hidden 1 billion dollar debt to someone?

It would be dischargeable in bankruptcy so there is a practical limit.

Usually courts won't uphold "unconscionable" charges.

Charge someone $1 billion to change a tire. Nope, nope, nope, as an example.

but somehow 229K is Okay? Where is the limit

Hospitals seem to have the world hypnotized.