| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Hunter Tamura | 13 | CAYST | 4:45.98 | BB | 624 |
| 2 | Jeremiah Ireland | 16 | CAYST | 4:46.74 | — | 481 |
| 1 | Ava Otteson | 14 | CARAA | 4:50.75 | A | 612 |
| 3 | Maksim Kutsner | 14 | CARST | 5:06.44 | B | 447 |
| 4 | Ethan Chang | 13 | MASSC | 5:17.49 | B | 456 |
| 5 | Anthony Gerges | 13 | CARST | 5:23.60 | — | 431 |
| 2 | Elisha De Vera | 14 | CARST | 5:25.93 | BB | 434 |
| 6 | Rithvik Ravishankar | 13 | CARST | 5:27.47 | — | 416 |
| 7 | Graeden Espelita | 14 | CARST | 5:32.87 | — | 349 |
| 3 | Ava Shalhoub | 14 | CAYST | 5:38.52 | B | 388 |
| 1 | Abigail Andersen | 12 | CARST | 5:43.39 | B | 429 |
| 1 | Elijah Riggins | 12 | CARST | 5:45.15 | — | 406 |
| 8 | Jaxon Nimako | 14 | CARST | 5:47.60 | — | 306 |
| 4 | Kylie Marlatt | 15 | CAHVDA | 5:51.96 | — | 339 |
| 5 | Valerie Na | 14 | CARST | 5:53.55 | B | 340 |
| 6 | Felicia Na | 14 | CARST | 5:54.32 | — | 338 |
| 2 | Siddhesh Jakkaraju | 12 | CAPDSC | 6:04.24 | — | 345 |
| 9 | Ryder Gallagher | 13 | CARST | 6:05.75 | — | 298 |
| 10 | Michael Flynn | 14 | CARST | 6:05.84 | — | 263 |
| 3 | Johann Frutkin | 11 | CAPDSC | 6:12.69 | — | 410 |
| 4 | Sawyer Lorenz | 12 | CAPDSC | 6:16.83 | — | 312 |
| 5 | Mathew Crane | 11 | CARAA | 6:21.53 | — | 382 |
| 11 | Andrew Xu | 13 | CAPDSC | 6:22.20 | — | 261 |
| 12 | Valentine Malgin | 14 | CAYST | 6:38.68 | — | 203 |
| 7 | Natalie Maynard | 13 | CAYST | 6:59.12 | — | 217 |