| 1 | Bryonna AllgierPlace 1 · Potosi | — | Potosi | 21:52.35 |
| 2 | Jordan HeacockPlace 2 · Jefferson | — | Jefferson | 21:57.86 |
| 3 | Anna HeacockPlace 3 · Jefferson | — | Jefferson | 22:18.61 |
| 4 | Kayley HeeterPlace 4 · Potosi | — | Potosi | 22:22.52 |
| 5 | Kara HovickPlace 5 · West County | — | West County | 22:52.41 |
| 6 | Skyler StearnsPlace 6 · Potosi | — | Potosi | 23:18.31 |
| 7 | Courtney WrightPlace 7 · Perryville | — | Perryville | 23:25.35 |
| 8 | Genevieve LipePlace 8 · St. Vincent | — | St. Vincent | 23:28.69 |
| 9 | Cheney ErvinPlace 9 · Jefferson | — | Jefferson | 23:35.44 |
| 10 | Hallie PortellPlace 10 · Potosi | — | Potosi | 23:48.38 |
| 11 | Cierra LewisPlace 11 · Potosi | — | Potosi | 24:09.50 |
| 12 | Rita ElmerPlace 12 · St. Pius | — | St. Pius | 24:33.60 |
| 13 | Emily StewartPlace 13 · Woodland | — | Woodland | 24:41.23 |
| 14 | Hailey DebertPlace 14 · St. Paul | — | St. Paul | 24:53.22 |
| 15 | Mikayla SherrillPlace 15 · West County | — | West County | 24:53.64 |
| 16 | Vittoria PolanowskiPlace 16 · Sullivan | — | Sullivan | 25:07.24 |
| 17 | Haley HernandezPlace 17 · Meadow Heights | — | Meadow Heights | 25:08.82 |
| 18 | Taylor SloanPlace 18 · Crystal City | — | Crystal City | 25:09.17 |
| 19 | Taylor ReynoldsPlace 19 · Crystal City | — | Crystal City | 25:10.43 |
| 20 | Kimberly MathisPlace 20 · St. Pius | — | St. Pius | 25:15.48 |
| 21 | Hailee GreenPlace 21 · Woodland | — | Woodland | 25:25.17 |
| 22 | Rachel VallePlace 22 · Valle | — | Valle | 25:35.03 |
| 23 | Stacie BangertPlace 23 · Saxony | — | Saxony | 25:37.65 |
| 24 | Loren HalmickPlace 24 · Sullivan | — | Sullivan | 25:45.29 |
| 25 | Brianna ArnzenPlace 25 · Woodland | — | Woodland | 25:46.34 |
| 26 | Emilee RougglyPlace 26 · Woodland | — | Woodland | 25:48.24 |
| 27 | Kira HaganPlace 27 · Perryville | — | Perryville | 25:56.94 |
| 28 | Elisabeth DunnPlace 28 · Perryville | — | Perryville | 26:06.25 |
| 29 | Sydney CashPlace 29 · West County | — | West County | 26:06.88 |
| 30 | Mary RothPlace 30 · Valle | — | Valle | 26:07.35 |
| 31 | Courtney BangertPlace 31 · Saxony | — | Saxony | 26:27.39 |
| 32 | Anna ThomasonPlace 32 · Saxony | — | Saxony | 26:30.92 |
| 33 | Gabby StarkPlace 33 · Perryville | — | Perryville | 26:37.68 |
| 34 | Megan LipePlace 34 · St. Vincent | — | St. Vincent | 26:55.27 |
| 35 | Madison DouthitPlace 35 · Sullivan | — | Sullivan | 26:58.65 |
| 36 | Calyn HartmannPlace 36 · Red Bud | — | Red Bud | 27:18.19 |
| 37 | Emily GritherPlace 37 · Valle | — | Valle | 27:22.68 |
| 38 | Olivia AyersPlace 38 · St. Paul | — | St. Paul | 27:44.43 |
| 39 | Kayleigh WillmanPlace 39 · Sullivan | — | Sullivan | 27:54.70 |
| 40 | Kari PepplePlace 40 · Chaffee | — | Chaffee | 27:57.21 |
| 41 | Hannah SchappePlace 41 · St. Pius | — | St. Pius | 28:02.85 |
| 42 | Porscha PolanowskiPlace 42 · Sullivan | — | Sullivan | 28:34.10 |
| 43 | Tracy CotterPlace 43 · Sullivan | — | Sullivan | 28:34.41 |
| 44 | Mary KeeleyPlace 44 · Valle | — | Valle | 29:13.35 |
| 45 | Josephine MijarezPlace 45 · Jefferson | — | Jefferson | 29:14.46 |
| 46 | Astraia DemopoulosPlace 46 · Woodland | — | Woodland | 29:28.98 |
| 47 | Adrienne VallettPlace 47 · Red Bud | — | Red Bud | 29:33.48 |
| 48 | Megan CasasolaPlace 48 · Saxony | — | Saxony | 29:37.65 |
| 49 | Kambri ErzfeldPlace 49 · Meadow Heights | — | Meadow Heights | 30:04.30 |
| 50 | Mary WagnerPlace 50 · Red Bud | — | Red Bud | 30:28.95 |
| 51 | Adia HalmickPlace 51 · Sullivan | — | Sullivan | 30:41.93 |
| 52 | Ketura PylandPlace 52 · Perryville | — | Perryville | 30:49.18 |
| 53 | Caroline KirklandPlace 53 · Crystal City | — | Crystal City | 30:49.82 |
| 54 | Katie DeeversPlace 54 · Jefferson | — | Jefferson | 30:51.39 |
| 55 | Kellyn FriedmanPlace 55 · Perryville | — | Perryville | 31:04.25 |
| 56 | Taylor McMahanPlace 56 · Sullivan | — | Sullivan | 31:25.73 |
| 57 | Tori StrohmeyerPlace 57 · Chaffee | — | Chaffee | 31:34.93 |
| 58 | Maria MarzucoPlace 58 · Valle | — | Valle | 31:35.52 |
| 59 | Ava ArnzenPlace 59 · Woodland | — | Woodland | 31:52.13 |
| 60 | Regan SwainPlace 60 · Chaffee | — | Chaffee | 31:54.28 |
| 61 | Merideth WhelanPlace 61 · Red Bud | — | Red Bud | 32:09.88 |
| 62 | Harley GreenPlace 62 · Woodland | — | Woodland | 32:10.90 |
| 63 | Ellie SuhrePlace 63 · Red Bud | — | Red Bud | 32:12.90 |
| 64 | Maddy BrauningerPlace 64 · Sullivan | — | Sullivan | 32:16.52 |
| 65 | Chelsea BadgerPlace 65 · Jefferson | — | Jefferson | 32:47.52 |
| 66 | Mattie BowyerPlace 66 · Saxony | — | Saxony | 32:47.85 |
| 67 | Ashley GruenkePlace 67 · Meadow Heights | — | Meadow Heights | 33:34.05 |
| 68 | Mackenzie HahnPlace 68 · Red Bud | — | Red Bud | 33:48.26 |
| 69 | Lauren StaabPlace 69 · Valle | — | Valle | 33:59.18 |
| 70 | Maddie JoslinPlace 70 · Sullivan | — | Sullivan | 34:19.92 |
| 71 | Brianna BullockPlace 71 · Sullivan | — | Sullivan | 34:20.68 |
| 72 | Maddy FliegPlace 72 · Valle | — | Valle | 34:22.68 |
| 73 | Monica SauerPlace 73 · St. Vincent | — | St. Vincent | 34:58.57 |
| 74 | Kylee DenmanPlace 74 · Meadow Heights | — | Meadow Heights | 35:24.54 |
| 75 | Kaylee SalzmanPlace 75 · Perryville | — | Perryville | 35:47.83 |
| 76 | Maddy GlueckPlace 76 · Chaffee | — | Chaffee | 36:56.37 |
| 77 | Ellie GatzmeyerPlace 77 · Valle | — | Valle | 37:18.03 |
| 78 | Adrianna HelmsPlace 78 · Sullivan | — | Sullivan | 37:33.34 |
| 79 | Iris ElledgePlace 79 · Woodland | — | Woodland | 37:50.61 |
| 80 | Mallory KistPlace 80 · Valle | — | Valle | 37:51.81 |
| 81 | Jillian MajorsPlace 81 · Saxony | — | Saxony | 38:40.06 |
| 82 | Kristen SeylerPlace 82 · Red Bud | — | Red Bud | 38:53.80 |
| 83 | Jasmine TubbsPlace 83 · Red Bud | — | Red Bud | 38:54.75 |
| 84 | Rebekka McSpaddenPlace 84 · West County | — | West County | 38:55.20 |
| 85 | Maria CabralPlace 85 · Valle | — | Valle | 39:10.35 |
| 86 | Jillian DavisPlace 86 · Sullivan | — | Sullivan | 39:13.50 |
| 87 | Hanna WiggerPlace 87 · Jefferson | — | Jefferson | 39:51.80 |
| 88 | Lauren MyerscoughPlace 88 · Red Bud | — | Red Bud | 42:01.14 |
| 89 | Maria MuellerPlace 89 · Red Bud | — | Red Bud | 42:03.39 |
| 90 | Paige LapePlace 90 · Woodland | — | Woodland | 43:24.63 |