| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Michael Hochwalt | 17 | AZSUN | 4:32.10 | — | 803 |
| 3 | Zane Ricker | 15 | IEVAN | 4:48.95 | — | 720 |
| 4 | Matthew Dillon | 17 | PCTIGR | 4:55.31 | — | 628 |
| 5 | Bryson Hill | 16 | IESWAT | 4:58.22 | — | 627 |
| 9 | Reilly Rupe | 18 | IESWAT | 4:58.80 | — | 597 |
| 6 | Leo Westenfelder | 14 | MTMAC | 5:00.88 | A | 676 |
| 7 | Alexander Hogan | 16 | PNIST | 5:01.00 | — | 609 |
| 5 | Rebecca Koza | 14 | IELGSC | 5:11.12 | AAA | 732 |
| 7 | Hope Westphal | 16 | IESWAT | 5:12.21 | — | 692 |
| 10 | Jeremiah Boivin | 18 | PNIST | 5:12.53 | — | 522 |
| 11 | Jayden Barton | 14 | IESWAT | 5:15.22 | BB | 588 |
| 12 | Benjamin Pelham | 17 | PNIST | 5:15.54 | — | 515 |
| 10 | Sarah Berthoud | 18 | IESWAT | 5:23.65 | — | 614 |
| 11 | Pema Anain | 15 | IECAST | 5:25.51 | — | 623 |
| 12 | Camryn Schmidt | 15 | IECAST | 5:27.43 | — | 612 |
| 13 | Laine Gilluly | 16 | MTBY | 5:27.93 | — | 597 |
| 15 | Ella Stack | 16 | MTMAC | 5:33.08 | — | 570 |
| 16 | Rachel Nicholls | 14 | IESSS | 5:33.39 | A | 595 |
| 17 | Belinda Butler | 17 | IESWAT | 5:37.28 | — | 549 |
| 18 | Evelyn Kelly | 15 | IESWAT | 5:43.18 | — | 532 |
| 19 | Lauren Howe | 15 | IEVAN | 5:45.39 | — | 521 |
| 21 | Macy Belzer | 14 | IEIES | 6:13.22 | B | 424 |