| 1 | Klarie BrownPlace 1 · Kickapoo | — | Kickapoo | 19:11.7 |
| 2 | Alicen AshleyPlace 2 · Nixa | — | Nixa | 19:21.1 |
| 3 | Mia HarrisPlace 3 · West Plains | — | West Plains | 19:22.8 |
| 4 | Jayna GunterPlace 4 · West Plains | — | West Plains | 20:01.1 |
| 5 | Brayden KantolaPlace 5 · West Plains | — | West Plains | 20:08.2 |
| 6 | Elizabeth KitchinPlace 6 · Ozark | — | Ozark | 20:16.7 |
| 7 | Rebecca LoyaPlace 7 · Hillcrest | — | Hillcrest | 20:19.4 |
| 8 | Sally CybulskiPlace 8 · Kickapoo | — | Kickapoo | 20:24.0 |
| 9 | Kyia WesibrodPlace 9 · West Plains | — | West Plains | 20:25.9 |
| 10 | Kaylee LambePlace 10 · West Plains | — | West Plains | 20:30.0 |
| 11 | Tara RandolPlace 11 · Kickapoo | — | Kickapoo | 20:30.9 |
| 12 | Miha NambaraPlace 12 · Republic | — | Republic | 20:47.7 |
| 13 | Juliane LopezPlace 13 · Lebanon | — | Lebanon | 20:50.4 |
| 14 | Jorden WoodsPlace 14 · West Plains | — | West Plains | 20:51.9 |
| 15 | Myah HoughPlace 15 · Lebanon | — | Lebanon | 20:55.6 |
| 16 | Avery WebberPlace 16 · Branson | — | Branson | 20:56.0 |
| 17 | Avery BakerPlace 17 · Central (Springfield) High Schoo | — | Central (Springfield) High Schoo | 21:05.8 |
| 18 | Jordan KantolaPlace 18 · West Plains | — | West Plains | 21:06.2 |
| 19 | Adrianna AlvardPlace 19 · Branson | — | Branson | 21:08.9 |
| 20 | Kopelyn DelongPlace 20 · Ozark | — | Ozark | 21:09.3 |
| 21 | Allison StephensPlace 21 · Kickapoo | — | Kickapoo | 21:11.3 |
| 22 | Emily HarrisPlace 22 · Nixa | — | Nixa | 21:11.8 |
| 23 | Jordyn WallPlace 23 · Branson | — | Branson | 21:18.5 |
| 24 | Clare HolmesPlace 24 · Camdenton | — | Camdenton | 21:19.0 |
| 25 | Jane MurrPlace 25 · Central (Springfield) High Schoo | — | Central (Springfield) High Schoo | 21:24.9 |
| 26 | Nevaeh PagePlace 26 · Nixa | — | Nixa | 21:25.5 |
| 27 | Cambrie KowalPlace 27 · Camdenton | — | Camdenton | 21:29.2 |
| 28 | Ashtyn MeltonPlace 28 · Kickapoo | — | Kickapoo | 21:29.4 |
| 29 | Lilah GenelPlace 29 · Parkview | — | Parkview | 21:31.7 |
| 30 | Hannah WhitePlace 30 · Glendale | — | Glendale | 21:46.6 |
| 31 | Lillian GriffithPlace 31 · Glendale | — | Glendale | 21:51.4 |
| 32 | Abigail MulnikPlace 32 · Branson | — | Branson | 22:00.1 |
| 33 | Kelsey BrownPlace 33 · Kickapoo | — | Kickapoo | 22:02.0 |
| 34 | Jana CollinsPlace 34 · Nixa | — | Nixa | 22:03.8 |
| 35 | Macy KoppPlace 35 · Nixa | — | Nixa | 22:11.5 |
| 36 | Madison PardeckPlace 36 · Branson | — | Branson | 22:18.8 |
| 37 | Jada HubbertPlace 37 · Parkview | — | Parkview | 22:26.0 |
| 38 | Madison LongPlace 38 · Parkview | — | Parkview | 22:29.2 |
| 39 | Abigail CassellPlace 39 · Ozark | — | Ozark | 22:40.3 |
| 40 | Adriana WakemanPlace 40 · Ozark | — | Ozark | 22:41.8 |
| 41 | Sophia HawleyPlace 41 · Glendale | — | Glendale | 22:43.9 |
| 42 | Samantha MccormickPlace 42 · Glendale | — | Glendale | 22:44.3 |
| 43 | Elli MollPlace 43 · Kickapoo | — | Kickapoo | 22:45.6 |
| 44 | Alexis CurlPlace 44 · Lebanon | — | Lebanon | 22:58.9 |
| 45 | Jasmyn DouglasPlace 45 · Republic | — | Republic | 23:02.1 |
| 46 | Kasandra CourtneyPlace 46 · Central (Springfield) High Schoo | — | Central (Springfield) High Schoo | 23:04.3 |
| 47 | Katie PohlmannPlace 47 · Ozark | — | Ozark | 23:05.0 |
| 48 | Victoria SchultePlace 48 · Ozark | — | Ozark | 23:05.5 |
| 49 | Rebecca WatermanPlace 49 · Parkview | — | Parkview | 23:14.7 |
| 50 | Aaliyah VasquezPlace 50 · Republic | — | Republic | 23:17.3 |
| 51 | Skyla SienPlace 51 · Lebanon | — | Lebanon | 23:24.1 |
| 52 | Carrie CoffmanPlace 52 · Lebanon | — | Lebanon | 23:33.6 |
| 53 | Carlee BrumleyPlace 53 · Nixa | — | Nixa | 23:40.6 |
| 54 | Maria AlfaroPlace 54 · Camdenton | — | Camdenton | 23:42.6 |
| 55 | Macie FisherPlace 55 · Lebanon | — | Lebanon | 23:49.8 |
| 56 | Carli FriendPlace 56 · Willard | — | Willard | 23:51.5 |
| 57 | Sage BakerPlace 57 · Glendale | — | Glendale | 23:53.8 |
| 58 | Sarah AllenPlace 58 · Willard | — | Willard | 23:55.0 |
| 59 | Mason MillerPlace 59 · Nixa | — | Nixa | 23:57.2 |
| 60 | Kirsten SpildePlace 60 · Glendale | — | Glendale | 24:05.8 |
| 61 | Miku NambaraPlace 61 · Republic | — | Republic | 24:07.7 |
| 62 | Maeven WeberPlace 62 · Camdenton | — | Camdenton | 24:12.0 |
| 63 | Kyla SchultePlace 63 · Ozark | — | Ozark | 24:17.5 |
| 64 | Liberty MilesPlace 64 · Central (Springfield) High Schoo | — | Central (Springfield) High Schoo | 24:17.6 |
| 65 | Macie JungmannPlace 65 · Central (Springfield) High Schoo | — | Central (Springfield) High Schoo | 24:23.7 |
| 66 | Ariadna GalavizPlace 66 · Willard | — | Willard | 24:43.8 |
| 67 | Elizabeth ShockleyPlace 67 · Central (Springfield) High Schoo | — | Central (Springfield) High Schoo | 24:54.4 |
| 68 | Chloe TerryPlace 68 · Willard | — | Willard | 24:59.9 |
| 69 | Maddie JayPlace 69 · Lebanon | — | Lebanon | 25:13.9 |
| 70 | Jacy HammettPlace 70 · Willard | — | Willard | 25:22.5 |
| 71 | Jadyn ClarkPlace 71 · Parkview | — | Parkview | 25:31.4 |
| 72 | Keira CasePlace 72 · Parkview | — | Parkview | 25:52.3 |
| 73 | Kaitlynn BeattiePlace 73 · Central (Springfield) High Schoo | — | Central (Springfield) High Schoo | 26:06.6 |
| 74 | Brianna PeekPlace 74 · Branson | — | Branson | 26:09.9 |
| 75 | Alexis CookPlace 75 · Branson | — | Branson | 26:49.0 |
| 76 | Jade Hefley ConnerPlace 76 · Parkview | — | Parkview | 27:05.8 |
| 77 | Adrienne HafleyPlace 77 · Camdenton | — | Camdenton | 27:34.1 |
| 78 | Emily WillisPlace 78 · Camdenton | — | Camdenton | 28:07.9 |
| 79 | Alexis Collins-irvinPlace 79 · Republic | — | Republic | 29:58.1 |