| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Summer McIntosh | 17 | STTXLA | 3:57.59 | — | 1077 |
| 1 | Evan Stepanek | 16 | FLTYS | 4:31.57 | A | 566 |
| 2 | Danika Varda | 17 | OHOSU | 4:32.45 | — | 714 |
| 2 | Valentino Sgroi | 13 | FLSYS | 4:33.35 | A | 715 |
| 3 | Sydney Hardy | 12 | FLSYS | 4:46.94 | AA | 735 |
| 4 | Sophia Malkowicz | 13 | FLSYS | 4:47.37 | AA | 674 |
| 5 | Sofia Krajewski | 13 | FLSYS | 4:47.64 | AA | 672 |
| 6 | Kinley Meislahn | 14 | FLSYS | 4:55.00 | A | 586 |
| 3 | Yueheng Li | 14 | FLSYS | 4:55.17 | BB | 500 |
| 7 | Gemma Gledhill | 14 | FLSYS | 4:59.47 | A | 560 |
| 4 | Porter DeBruin | 12 | FLSYS | 5:01.25 | BB | 610 |
| 5 | Lance Butler | 13 | FLSYS | 5:07.62 | B | 501 |
| 8 | Alexandra Duty | 12 | FLSYS | 5:09.72 | A | 585 |
| 9 | Izabela Lesniewska | 13 | FLSYS | 5:10.35 | BB | 535 |
| 10 | Helaina Gunn | 13 | FLSYS | 5:14.29 | BB | 515 |
| 11 | Daphne Schemel | 15 | FLSYS | 5:14.69 | BB | 475 |
| 12 | Bixby Lavigueur | 13 | FLSRQ | 5:14.91 | BB | 512 |
| 13 | Mae Hershberger | 12 | FLSYS | 5:15.54 | BB | 553 |
| 14 | Lydia Zhukovsky | 15 | FLSYS | 5:16.37 | BB | 467 |
| 15 | Beatrice Buchmueller | 12 | FLSYS | 5:19.08 | BB | 535 |
| 6 | Jace Chamberlin | 13 | FLSYS | 5:20.09 | B | 445 |
| 16 | Dru Hershberger | 12 | FLSYS | 5:21.14 | BB | 525 |
| 17 | Daphne Schau | 13 | FLSYS | 5:26.46 | BB | 459 |
| 7 | Jack Gilliam | 13 | FLSYS | 5:30.66 | — | 404 |
| 18 | Caroline Barry | 13 | FLSYS | 5:36.19 | B | 421 |
| 8 | Maxim Siutsou | 12 | FLSYS | 5:48.35 | — | 395 |
| 19 | Charlotte Weisenborn | 13 | FLSYS | 5:49.00 | B | 376 |
| 9 | Nofel Atir | 13 | FLTYS | 5:51.57 | — | 336 |