| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Jacob Foster | 19 | OHRAYS | 4:25.12 | — | — |
| 2 | Genevieve Pfeifer | 21 | STTXLA | 4:49.31 | — | — |
| 3 | Evan Roberts | 14 | STWLOO | 5:01.63 | — | 726 |
| 4 | Ethan Riser | 19 | STWLOO | 5:04.10 | — | — |
| 5 | Taeyoon Kim | 16 | STWLOO | 5:13.77 | — | 565 |
| 6 | Justin Roberts | 16 | STWLOO | 5:15.98 | — | 554 |
| 7 | Nathaniel Thomason | 15 | CATRA | 5:21.56 | — | 536 |
| 8 | Miranda Moser | 14 | STWLOO | 5:27.18 | — | 641 |
| 9 | Harshithram Sundararaman | 16 | STWLOO | 5:29.12 | — | 490 |
| 10 | Kevin Qian | 13 | STWLOO | 5:33.61 | — | 598 |
| 11 | Robert Padurean | 14 | STWLOO | 5:38.07 | — | 516 |
| 12 | Phoenix Mielcarek | 13 | STWLOO | 5:40.04 | — | 565 |
| 13 | Hadley Dodson | 13 | STWLOO | 5:41.64 | — | 591 |
| 14 | Ayame Castel | 16 | STAQTX | 5:44.38 | — | 522 |
| 1 | Fiona Graves | 17 | STWLOO | 5:47.44 | — | 508 |
| 15 | Sophia He | 13 | STWLOO | 5:49.80 | — | 551 |
| 16 | Stella Wiegert | 13 | FGFAST | 5:55.15 | — | 526 |
| 2 | Nigel Nielsen | 12 | STTXLA | 6:05.81 | B | 534 |
| 17 | Delaney Alt | 14 | STAQTX | 6:16.19 | — | 422 |