| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Amadeusz Knop | 17 | FLFLOR | 4:33.92 | — | 817 |
| 2 | Aidan Siers | 16 | FLUN-0 | 4:37.02 | — | 822 |
| 3 | Justin Knauf | 16 | GARAYS | 4:54.24 | — | 686 |
| 4 | Kai Parker | 17 | COEA | 5:00.55 | — | 618 |
| 5 | Connor Tiffin | 16 | MDEST | 5:03.94 | — | 622 |
| — | Max Eckerman | 17 | FLSYS | 5:08.48 | — | 572 |
| — | Maxwell Kulbida | 17 | COEA | 5:09.83 | — | 564 |
| 6 | Kyle Bitz | 17 | MDEST | 5:10.96 | — | 558 |
| 1 | Sidney Brann | 15 | FLSYS | 5:13.22 | — | 698 |
| 7 | Elijah Liebmann | 18 | OZSEA | 5:15.53 | — | 535 |
| 8 | Cody Miles | 15 | GARAYS | 5:15.86 | — | 565 |
| 2 | Gabriella Gonzalez | 15 | FLSYS | 5:15.89 | — | 681 |
| 3 | Grace Serino | 18 | MDEST | 5:17.13 | — | 668 |
| 4 | GiannaMarie Conti | 15 | GARAYS | 5:21.04 | — | 648 |
| 5 | Ruby Nussbaum | 16 | SEARGO | 5:21.98 | — | 638 |
| 9 | Ethan Templeton-Palmer | 17 | COEA | 5:23.53 | — | 496 |
| 6 | Alyssa Albertyn | 14 | OZSEA | 5:26.02 | AA | 648 |
| 9 | Addison Rice | 15 | GARAYS | 5:30.18 | — | 596 |
| 7 | Jillian Hawkins | 16 | MDEST | 5:30.41 | — | 591 |
| 10 | Sarah Fannin | 17 | GARAYS | 5:31.08 | — | 587 |
| 8 | Darby Murlin | 16 | LENCAT | 5:31.24 | — | 586 |
| 11 | Ava Kornegay | 14 | GARAYS | 5:41.47 | A | 564 |
| — | Carly Yeagle | 17 | MDEST | 5:42.83 | — | 528 |
| 12 | Olivia Kuhel | 17 | LESHSH | 5:42.94 | — | 528 |
| — | Georgiana Utendorf | 17 | GARAYS | 5:44.28 | — | 522 |
| 13 | Evelyn Jezerinac | 14 | GARAYS | 5:51.29 | BB | 518 |
| 14 | Sarah Winter | 15 | GARAYS | 6:18.50 | — | 396 |