Great profile - I agree with your assessment on Wisconsin. Of course your test won’t help you at the UCs. Your $$ will help you at Tufts.
I agree with Pitt and but given pre-med but wanting IB access - and it seems like you want a more urban school - most your list is that -
SMU could work (safety) as could Rochester (match). A U Denver (safety) as well for your top schools and Wake Forest maybe a tad easier admit than your reaches. You have 3 Boston schools - Brandeis, a bit smaller, would be a likely. Elon is a safety but it seems more rural than the others on your list. but could prove another safety.
If you’re pre med, are you planning for 8 years of expense - so not just the four - because then you can go to schools where your budget stretches to help cover the last four years. For example, U of Alabama (safety) has the McCullough Pre Med Scholars. Other schools, such as FSU, has an LLC focused on health careers. These schools are in essence substitutional to other large flagships - especially if pre-med is the thing. For an IB, they are possible and place - but yes, they’re not Michigan (nor close) - but if you get in the groups that help manage the student funds, etc. they are placing. I point these out - from the POV, if you have 8 years budgeted, is all. There’s really lots of flagships that work here - a Pitt for healthcare and Delaware gets a lot of love on this website for pre-med.
Best of luck.