| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Sam Wang | 12 | CABCA | 4:42.50 | A | 749 |
| 2 | Max Wang | 12 | CABCA | 4:48.90 | BB | 701 |
| 3 | Gabriella Brito | 12 | CABCA | 4:51.75 | AA | 729 |
| 4 | Kayla Sun | 12 | CABCA | 5:10.72 | BB | 603 |
| 5 | Grant Morgan | 14 | CACITI | 5:28.98 | B | 391 |
| 6 | Penelope Chiu | 12 | CABCA | 5:30.42 | BB | 502 |
| 7 | Madelyn Fu | 14 | CABCA | 5:32.04 | B | 440 |
| 8 | Annie Coyne | 13 | CACITI | 5:35.13 | B | 438 |
| 9 | Amelia Tucker | 15 | CACITI | 5:36.14 | B | 411 |
| 10 | Talia Cistone | 12 | CACITI | 5:38.93 | B | 465 |
| 11 | Hattie Wildes | 16 | CACITI | 5:40.07 | — | 384 |
| 12 | Santiago Baranda | 12 | CABCA | 5:47.25 | — | 403 |
| 13 | Hana Imai | 11 | CABCA | 5:56.20 | B | 454 |
| 14 | Alexandria Nobregas | 16 | CAUN-0 | 6:00.68 | — | 322 |
| 15 | Ethan Syring | 17 | CACITI | 6:02.66 | — | 249 |
| 16 | Gaoyi Li | 15 | CACITI | 6:10.46 | — | 307 |