The healthy development of railway container transport is an important part of railway freight transport and is key for promoting the green transformation of China's transport and supporting a new pattern of transport development. In this study, railway container handling station (RCHS) data, kernel density analysis, standard deviation ellipse, Herfindahl–Hirschman index (HHI), trend surface analysis (TSA), and R index were applied to examine the evolution characteristics of container transport patterns after the market-oriented reform of China's railway freight transport in 2013. The results are as follows: First, the overall scale growth trend is obvious, and the double-center effect of transport scale on the Bohai Rim region and Chengdu–Chongqing Economic Zone is evident, with the transport center of gravity moving northward. Second, the amount of attraction/occurrence is consistent in spatial distribution, and the aggregation effect of both is similar, essentially exhibiting a tendency of being high in the northwest and low in the southeast. Third, the pattern of “export-oriented in the north and import-oriented in the south” has taken shape; nearly half of cities in China have stable traffic functions, stable traffic supply, and demand relationships, and the change of functions shows that the industrial structure is constantly upgrading. This study elucidates the pattern of railway container transport in cities in China and provides empirical guidance for adjusting the functions of urban freight transport, thereby promoting the healthy development of urban freight transport and optimizing urban transport planning.