So how do the power companies run electricity to those areas? They don't use DC, do they? Or do you mean individual houses are typically wired with just one of the phases?
US residential and rural areas typically have 120/240v split phase (single phase) 3-wire service, (2) 120v hots and a shared neutral. Commercial customers can usually get three-phase power.
Correct. It can be prohibitively expensive to have 3-phase power run to your house. Most consumers who need it, e.g., hobbyists, will use a phase converter.
The only person I know who actually had 3-phase power run to his house was using it for a ceramic kiln.
Living on a rural US farm... In our area, 3 phase was not ran to our farm until we paid a large lump sum for the utility to run it from the nearest substation to us. Before that we only had single phase.