| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Aneirin Hanan | 18 | NMLCAT | 4:15.06 | — | 661 |
| 2 | Fernando Gonzalez | 18 | BDEPAP | 4:23.82 | — | 598 |
| 1 | Nicolas Hernandez | 14 | AQUA | 4:31.26 | A | 644 |
| 3 | William Briske | 16 | NMLCAT | 4:39.13 | BB | 522 |
| 2 | Mauricio Gonzalez | 13 | BDEPAP | 4:44.18 | BB | 636 |
| 3 | Liam Reyes | 13 | BDEPAP | 4:46.40 | BB | 621 |
| 4 | Liam Caldera Flores | 15 | BDEPAP | 4:47.54 | BB | 507 |
| 1 | Priscila Villarreal Prieto | 17 | DD | 4:52.00 | — | 580 |
| 5 | Eduardo Gomez | 15 | BDBLST | 4:56.12 | BB | 464 |
| 1 | Vianney Sanchez | 13 | BDEPAP | 5:04.58 | A | 566 |
| 2 | Elizabeth Briske | 17 | NMLCAT | 5:05.13 | — | 508 |
| 2 | Matilda Avila-Escobar | 13 | BDBLST | 5:13.29 | BB | 520 |
| 4 | Santiago Jaquez | 13 | BDBLST | 5:13.49 | B | 474 |
| 3 | Arabella Richardson | 16 | NMLCAT | 5:14.67 | BB | 464 |
| 5 | Brayden Davis | 14 | BDEPAP | 5:16.00 | B | 408 |
| 6 | Marcus Dudley | 13 | SCGAME | 5:20.05 | B | 445 |
| 4 | Elizabeth Saenzpardo | 15 | AQUA | 5:20.81 | BB | 448 |
| 5 | Valeria Garcia | 15 | BDEPAP | 5:22.99 | BB | 439 |
| 3 | Julia Gomez | 13 | BDBLST | 5:24.88 | BB | 466 |
| 7 | Kevin Araujo | 13 | BDEPAP | 5:26.39 | — | 420 |
| 6 | Carolina Gutierrez | 15 | AQUA | 5:29.30 | B | 414 |
| 4 | Stella Torres | 14 | BDDSSC | 5:30.33 | BB | 417 |
| 7 | Heyra Casanova | 15 | BDWETT | 5:44.53 | B | 362 |
| 5 | Riley Smith | 14 | BDSWAT | 6:14.59 | — | 286 |