| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Raphael Cueva | 14 | SNDART | 4:40.01 | BB | 586 |
| — | Tessa Breitbart | 16 | SNWAC | 4:41.57 | — | 647 |
| 1 | Carlo DeIanni | 17 | PCNVST | 4:46.46 | — | 477 |
| 2 | Lucas Wang | 14 | PCSRN | 4:49.32 | BB | 531 |
| 2 | Logan Brough | 16 | PCNVST | 4:52.67 | — | 453 |
| 1 | Olivia Pettit | 15 | PCOAPB | 4:56.94 | — | 565 |
| 3 | Aiden Galli | 15 | PCUN | 5:00.50 | — | 444 |
| 4 | Nicholas Kwan | 16 | PCSRN | 5:00.67 | — | 417 |
| 2 | Remy Harrison | 15 | CAUN-0 | 5:01.07 | — | 542 |
| 5 | Jack Larsen | 16 | PCNVST | 5:01.78 | — | 413 |
| 6 | Mario Deianni | 15 | PCNVST | 5:02.73 | — | 434 |
| 3 | Elena Rivera | 17 | SNDART | 5:08.81 | — | 490 |
| 3 | Matthew Huang | 13 | SNDART | 5:11.33 | B | 484 |
| 4 | Jacob Imhoff | 14 | PCNVST | 5:17.69 | B | 401 |
| 7 | Michael Gottlieb | 17 | PCUN-A | 5:20.36 | — | 341 |
| 1 | Vanessa Sandoval | 14 | SNDART | 5:26.32 | BB | 433 |
| 2 | Kendall Caton | 13 | PCSON | 5:31.31 | B | 440 |
| 3 | Anna Efe | 13 | SNDART | 5:35.29 | B | 424 |
| 4 | Mila Geiser | 15 | PCUN-A | 5:41.87 | — | 370 |
| 4 | Chloe Kamages | 14 | PCAC | 5:44.71 | B | 367 |
| 5 | Sevanah Sandoval | 15 | PCVJO | 6:01.08 | — | 314 |
| 6 | Amalia Leslie | 15 | PCSSS | 6:32.06 | — | 245 |