| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Luka Di Fabio | 16 | ADSCHE | 4:30.28 | A | 575 |
| 1 | Ava Kaufman | 16 | ADSCHE | 4:49.63 | — | 595 |
| 2 | Olivia Skuza | 17 | ADDELM | 5:02.21 | — | 523 |
| 3 | Ella Fraley | 14 | ADSCHE | 5:02.83 | A | 542 |
| 4 | Lauren Greaux | 17 | ADDELM | 5:03.20 | — | 518 |
| 2 | Daniel Hao | 12 | ADDELM | 5:09.58 | B | 562 |
| 3 | Brayden Yin | 13 | ADCPP | 5:12.24 | B | 480 |
| 5 | Erica Wang | 14 | ADCPP | 5:16.62 | BB | 474 |
| 6 | Shay Callanan | 17 | ADBENN | 5:18.44 | — | 447 |
| 7 | Elizabeth McMahon | 16 | ADSCHE | 5:19.83 | — | 442 |
| 4 | James Vilics | 15 | ADCPP | 5:20.14 | — | 367 |
| 8 | Irena Hou | 11 | ADDELM | 5:20.52 | A | 630 |
| 9 | Kelsey Gerstler | 18 | ADALBS | 5:20.58 | — | 439 |
| 10 | Mae Allinson | 14 | ADSCHE | 5:21.14 | BB | 454 |
| 11 | Cadence Relyea | 13 | ADDELM | 5:32.79 | BB | 434 |
| 12 | Ana Ball | 16 | ADALBS | 5:44.73 | B | 353 |
| 5 | Levi LaFountain | 14 | ADALBS | 6:06.23 | — | 262 |