| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Isaac Holtham | 16 | NCMSA | 4:15.90 | — | 677 |
| 2 | Joshua Smith | 15 | VACCA | 4:20.98 | — | 678 |
| 3 | Paul Warnagiris | 17 | VAWST | 4:22.14 | — | 622 |
| 4 | Caleb Bailey | 17 | SCTIDE | 4:26.20 | — | 594 |
| 5 | Joseph Warnagiris | 14 | VANOVA | 4:26.73 | A | 678 |
| 1 | Sophia Bellissimo | 15 | NCUN-0 | 4:32.79 | — | 729 |
| 2 | Sophie McCammon | 15 | NCMSA | 4:35.57 | — | 707 |
| 6 | Brayden Bauernshub | — | PVSTJS | 4:37.36 | — | 565 |
| 7 | Davis Dial | — | SCFAY | 4:42.88 | — | 501 |
| 8 | Alexander Burkhart | — | SCFAY | 4:42.90 | — | 568 |
| 9 | Ryker Eder | — | NCNSEA | 4:43.07 | — | 567 |
| 3 | Chelsea Burkhart | 15 | SCUN | 4:44.13 | — | 645 |
| 4 | Casey McLaughlin | 17 | NJBB | 4:44.20 | — | 629 |
| 5 | Claire Neilly | 16 | VATRIB | 4:44.44 | — | 628 |
| 10 | Andrew Thompson | 17 | VAWST | 4:46.93 | — | 475 |
| 6 | Amelia Betancourt | 15 | NCUN-0 | 4:46.95 | — | 626 |
| 11 | Charlie Puttlitz | 15 | MDASC | 4:48.93 | — | 500 |
| 12 | Patrick Glynn | 14 | NJBB | 4:51.96 | BB | 517 |
| 7 | Delaney McLaughlin | 16 | VACCA | 4:52.78 | — | 576 |
| 8 | Sinead Cook | 15 | NJBB | 4:53.88 | — | 583 |
| 9 | Abbey Cronin | 14 | OHFAST | 4:53.94 | A | 592 |
| 10 | Riley Shimp-Donahue | 15 | NCATOM | 4:56.69 | — | 566 |
| 11 | Emily Wrenn | — | NCGFSC | 4:59.02 | — | 598 |
| 12 | Peyton Lawrence | 17 | VACCA | 4:59.36 | — | 538 |
| 13 | Jule Howard | 17 | NCTEAM | 5:18.95 | — | 445 |