A few differences that come to mind:
1. Chinese carriers are all government-run, basically. There's basically two: China Unicom and China Mobile. Almost everyone used to use the latter, but Unicom is getting better recently (last few years). It takes a lot of effort to follow though, so I'm not 100% on all that (I'm back to China for Chinese new year in a couple of weeks, living in Thailand now!)
2. Nearly everyone uses prepay.
3. Most people aren't living in debt.
4. There is a massive market for cheap and/or stolen phones.
5. A not insignificant number of phones, particularly at the luxury end, are 're-routed' from the Hong Kong 'export' market back in to the mainland.
6. Chinese save a lot of money and don't tend to live beyond their means as much as Americans.
7. The entire mobile infrastructure is generally less than ten years old.
8. The Chinese produce their own infrastructure hardware (chiefly Huawei).
9. The Chinese government wisely sees infrastructure as a political and security tool, and so probably subsidises it in many ways. (This also goes for roads, electricity, etc.)
10. Coverage is far better than the US. You almost never have no coverage, even waaaay out in the hills. And in 10 or so years, I've never had a dropped call.