Who did the Commonwealth of Massachusetts pay the most in 2026?
Top 10 by state spending in FY2026. Leading: BOSTON MEDICAL CENTER HEALTH P ($5.50B); TUFTS HEALTH PUBLIC PLANS INC ($1.93B); MASS GENERAL BRIGHAM HEALTH PLAN INC ($1.76B).
| Payee | Spending | City |
|---|---|---|
| Boston Medical Center Health P | $5.50B | CHARLESTOWN |
| Tufts Health Public Plans Inc | $1.93B | CANTON |
| Mass General Brigham Health Plan Inc | $1.76B | SOMERVILLE |
| Mass Bay Transportation Authority | $1.64B | BOSTON |
| Fallon Community Health Plan | $1.50B | WORCESTER |
| Massachusetts School Building Authority | $1.28B | BOSTON |
| Commonwealth Care Alliance | $1.26B | BOSTON |
| Tempus Unlimited Inc | $1.12B | STOUGHTON |
| Wellpoint Life & Health Ins Co | $1.03B | INDIANAPOLIS |
| Harvard Pilgrim Health Care | $965.07M | CANTON |
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How to read this
- Massachusetts state government payments (money paid out; source: Massachusetts Comptroller (CTHRU)), not federal obligations. They include federal grant money the state spends, so don't add them to federal totals.
- Massachusetts fiscal years run July to June (FY2027 started July 2026).
- Payees only: payroll, summary lines and transfers between agencies are left out.