HDHP or Standard Plan? Am I missing something??

Trying to decide between a HDHP with HSA vs standard PPO plan. From my assessment, it seems like one is a clear winner, even regardless of how much health insurance we use. Am I missing something?? TIA!!

Background: about to start as attending subspecialty surgeon at large hospital system in Northeast in September. I will require insurance for me, spouse, baby and another baby on the way. Spouse is stay at home. We live in VHCOL area. Salary will be about 450-500k.

We are overall young and healthy. Me with minor chronic condition and spouse as well, both on 1 generic inexpensive medication. Baby is healthy. Baby #2 due Feb 2027. I am a bit of hypochondriac and so i do sometimes try to get myself tested for things I likely don’t need to test for, though I have gotten better with that.

Details of the plans (both are mostly limited to receiving care by the massive hospital system, these are not for out of network practices):

HDHP with HSA: biweekly premium $256. Deductible is 3400 for family, OOP max is $8050 for family. Can max out family HSA $8750, the hospital gives us $500 to reach that $8750. After the deductible, most services if staying in the system appear to be covered with small copays

PPO: biweekly premium $477.84. Deductible is $0, OOP max is $10,000 for family. Maternity care and most other things are 100% covered save small copays.