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Legality
Stem cell therapy is legal in the United States but have different regulations in various States. To help keep it simple, clinics in Florida can offer umbilical cord derived treatments for orthopdic & wound issues. Clinics in Utah can also offer the same treatment for a variety of conditions. BUT the FDA has different rules.
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Umbilical Cord Derived Cells
Only clinics in Florida & Utah can useMesenchymal Stem Cells derived from umbilical cord tissue. But Clinics must state the experimental nature of treatment clearly to patients & source cells from accredited Labs.
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Ease of access for patients in North America
Of course,Stem Cell Clinics in the USare much easier to access if you're based in the US or Canada. You're not having to spend high amounts of money on hotels & flights. It's also safer then going to countries like Mexico where quality of Stem Cells is difficult to verify.
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Cost
Contrary to what you're probably thinking, the US isn't more expensive then clinics abroad. But the type of treatments available here are more limited in some cases.