| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Wyatt Merriken | 16 | STSASA | 4:21.65 | AA | 633 |
| 2 | Ramin Mirza | — | ARUN-A | 4:30.70 | — | — |
| 1 | Lillian Glasgow | 17 | STSASA | 4:33.63 | AAA | 705 |
| 1 | Bella Kallus | 13 | STVTAC | 4:35.71 | AAA | 763 |
| 3 | Asher Lacy | 15 | STSYS | 4:42.33 | BB | 536 |
| 1 | William Crisp | 12 | STSASA | 4:42.85 | AA | 737 |
| 2 | Daniela Delarue | 16 | STSASA | 4:43.65 | AA | 633 |
| 3 | Madeline Griffeth | 15 | STSASA | 4:49.87 | AA | 607 |
| 2 | River Nicholl | 12 | STSASA | 4:51.29 | A | 675 |
| 4 | Solomon Moreno | 17 | STSYS | 4:51.96 | BB | 450 |
| 1 | Joshua Morin | 14 | STSAW | 4:52.28 | BB | 515 |
| 4 | Brittan Nichols | 17 | STSASA | 4:54.77 | A | 564 |
| 5 | Soleil Elammari | 17 | STSASA | 5:02.22 | A | 523 |
| 5 | Jesse Grant | 16 | STUN-S | 5:02.53 | B | 410 |
| 2 | Carlota Gomez-Cisneros | 13 | STHPAC | 5:03.45 | A | 572 |
| 6 | Calista Kelner | 19 | STUN-1 | 5:03.84 | — | — |
| 6 | Sergio Lopez | 15 | STSAW | 5:21.64 | B | 362 |
| 7 | Levi Strauss | 16 | STVTAC | 5:24.25 | — | 333 |
| 3 | Emma Arguello | 14 | STSYS | 5:36.47 | BB | 395 |
| 2 | William Potucek | 14 | STHOT | 5:41.45 | — | 323 |
| 4 | Ansley Schiller | 14 | STBEAQ | 5:43.50 | B | 371 |
| 1 | Juliet Tominey | 12 | STLIFE | 5:58.13 | B | 378 |
| 3 | Xavier Alvarado | 13 | STLIFE | 5:58.41 | — | 317 |
| 5 | Catherine Dorsey | 14 | STLSAC | 5:59.34 | B | 324 |
| 4 | Weston Smurthwaite | 13 | STLSAC | 6:02.94 | — | 305 |
| 7 | Bailey Dalley | 17 | STSASA | 6:14.80 | — | 274 |