Case Western is a great choice. Very flexible, excellent resources, great neighborhood, urban.
I suppose you also have Emory and Northeastern on your list?
Do keep LACs on your list though, for costs (as I said, run the NPC) and support.
They don’t need to be rural. Look at Rhodes, Macalester, Lafayette, Connecticut College, Bates, Skidmore, Southwestern, Agnes Scott, for instance (very different environments but not rural).
BTW colleges towns can be better for college students than cities, even if cities are great (Ann Arbor> Detroit, Saratoga Springs>Buffalo…) so don’t just look at how many people live there or if there are skyscrapers, look at how walkable everything is from campus.
However, don’t look at any college’s medical school acceptance rate, since it’s so easily doctored (do they include seniors only or seniors and graduates? MD and DO, or any health profession? Do they even include no-good/for-profit Carribean “schools”?)