Well......
Given the expansion of Independent System Operators (ISO's) in North America it doesn't mean that much of a difference anymore.
And...there are not that many separated "grids" so to speak, nor has there ever been except in terms of economics. You have the Western Interconnect (west of the Rockies) the Eastern Interconnect, Texas (aka ERCOT) and then some penninsular areas like Florida which kinda acts as its own animal due to transmission constraints.
I really don't feel like going into details on how it all works, but the jist of it is that energy management across the country has been largely socialized in a privatized manner. This means that the price of energy consumption across broad geographic areas is leveled out. Areas of cheap generation will pay more, and areas of expensive generation will pay less.
To quote Full Metal Jacket....
"It's a big shit sandwhich, and we're all gonna have to take a bite."