Looking at your pros and cons plus different costs, it seems like Columbia is the winner. Your Columbia cons aren't really cons imo, and it is the cheapest choice aside from UCSF. Yale seems like a close second, but you'll have to decide if it's worth $72k more for the Yale system over Columbia. From a support system and financial perspective, it looks like UCSF should be the winner, but it really seems like you just don't want to go there (otherwise I would have voted for it instead). Would cross Hopkins off since its pros are also true for the other schools.