| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Jaiden Sreenivasan | 17 | PNWAVE | 4:29.58 | — | 857 |
| 1 | Jackson Carlile | 21 | INISC | 4:31.88 | — | — |
| 2 | Alexander Bauer | 18 | AMPITT | 4:33.66 | — | 820 |
| 1 | Caleb Manning | 17 | OHDR | 4:36.96 | — | 790 |
| 1 | Adam Kiss | 18 | NJSCAR | 4:37.08 | — | 790 |
| 3 | Jordan Ragland | 16 | SNLIFE | 4:40.58 | AAA | 791 |
| 2 | Luke Slankard | 16 | COFST | 4:41.22 | AAA | 785 |
| 4 | Luke Parsons | 17 | INFAST | 4:41.69 | — | 751 |
| 3 | Frank Nguyen | 17 | PCSCSC | 4:44.67 | — | 728 |
| 5 | Coleman Kimmel | 17 | SEMTS | 4:46.22 | — | 716 |
| 2 | Lucas Ackermann | 16 | INFRST | 4:54.02 | AA | 687 |
| 1 | Molly Urkiel | 22 | NJSCAR | 4:56.12 | — | — |