| 1 | Lexi BoschertPlace 1 · St. Joseph's Aca | — | St. Joseph's Aca | 12:25.97 |
| 2 | Samantha DyroffPlace 2 · Kirkwood | — | Kirkwood | 13:01.15 |
| 3 | Alex JonesPlace 3 · Kirkwood | — | Kirkwood | 14:23.31 |
| 4 | Emily DavidsonPlace 4 · Indians | — | Indians | 14:25.74 |
| 5 | Maggie TesonPlace 5 · Kirkwood | — | Kirkwood | 14:26.27 |
| 6 | Sierra LamersPlace 6 · Farmington Knigh | — | Farmington Knigh | 14:26.75 |
| 7 | Kierstin GodierPlace 7 · North County Bon | — | North County Bon | 14:27.14 |
| 8 | Carlie BolenPlace 8 · Blue Jays | — | Blue Jays | 14:27.41 |
| 9 | Ashley MilesPlace 9 · Indians | — | Indians | 14:29.05 |
| 10 | Anna PelchPlace 10 · St. Joseph's Aca | — | St. Joseph's Aca | 14:33.81 |
| 11 | Natalie NoonanPlace 11 · Kirkwood | — | Kirkwood | 14:34.79 |
| 12 | Rachel DalskePlace 12 · St. Joseph's Aca | — | St. Joseph's Aca | 14:37.33 |
| 13 | Sarah HoglandPlace 13 · St. Joseph's Aca | — | St. Joseph's Aca | 14:37.73 |
| 14 | Dakota WernerPlace 14 · Indians | — | Indians | 14:39.82 |
| 15 | Kristen CookPlace 15 · Indians | — | Indians | 14:43.79 |
| 16 | Chleo LeGrandPlace 16 · Cape Central | — | Cape Central | 14:46.53 |
| 17 | Jane EdmundsPlace 17 · Kirkwood | — | Kirkwood | 14:55.94 |
| 18 | Amanda DarbyPlace 18 · Hillsboro | — | Hillsboro | 15:01.21 |
| 19 | Mychaela ShulackPlace 19 · Hillsboro | — | Hillsboro | 15:03.20 |
| 20 | Mara KellyPlace 20 · St. Joseph's Aca | — | St. Joseph's Aca | 15:05.17 |
| 21 | Jessica SthalmanPlace 21 · North County Bon | — | North County Bon | 15:05.82 |
| 22 | Reagan ObermannPlace 22 · Saxony Luthern | — | Saxony Luthern | 15:25.72 |
| 23 | Corbin McRavenPlace 23 · Kirkwood | — | Kirkwood | 15:29.11 |
| 24 | Annie NiemannPlace 24 · St. Joseph's Aca | — | St. Joseph's Aca | 15:31.37 |
| 25 | Kayla LeePlace 25 · Fox Warriors | — | Fox Warriors | 15:39.96 |
| 26 | Zhao Ni DirnbergerPlace 26 · Indians | — | Indians | 15:40.47 |
| 27 | Mallory DicksonPlace 27 · Cape Central | — | Cape Central | 15:42.98 |
| 28 | Caity MostPlace 28 · St. Joseph's Aca | — | St. Joseph's Aca | 15:43.87 |
| 29 | Miranda BrashearPlace 29 · Scott City | — | Scott City | 15:57.88 |
| 30 | Samantha MidgettPlace 30 · Dexter Bearcats | — | Dexter Bearcats | 15:58.43 |
| 31 | Brooke BakerPlace 31 · Dexter Bearcats | — | Dexter Bearcats | 16:00.03 |
| 32 | Katie SprawerPlace 32 · North County Bon | — | North County Bon | 16:02.18 |
| 33 | Danielle KosPlace 33 · Seckman | — | Seckman | 16:14.76 |
| 34 | Brooke DuckwathPlace 34 · Dexter Bearcats | — | Dexter Bearcats | 16:15.70 |
| 35 | Linda LovePlace 35 · Dexter Bearcats | — | Dexter Bearcats | 16:24.88 |
| 36 | Erin HuiePlace 36 · Mehlville | — | Mehlville | 16:26.34 |
| 37 | Erin KilfoyPlace 37 · Kirkwood | — | Kirkwood | 16:29.02 |
| 38 | Mary RobinsonPlace 38 · Fox Warriors | — | Fox Warriors | 16:32.35 |
| 39 | Britney MccartherPlace 39 · Indians | — | Indians | 16:33.97 |
| 40 | Lauren KellPlace 40 · Kirkwood | — | Kirkwood | 16:34.57 |
| 41 | Lauren JohnsonPlace 41 · Indians | — | Indians | 16:46.60 |
| 42 | Danielle FrolosPlace 42 · Hillsboro | — | Hillsboro | 16:58.43 |
| 43 | Taylor WinsteadPlace 43 · Dexter Bearcats | — | Dexter Bearcats | 16:59.59 |
| 44 | Kristen PlatcherPlace 44 · St. Joseph's Aca | — | St. Joseph's Aca | 17:00.93 |
| 45 | Katie O'DeaPlace 45 · St. Joseph's Aca | — | St. Joseph's Aca | 17:19.63 |
| 46 | Abigail PorterPlace 46 · St. Joseph's Aca | — | St. Joseph's Aca | 17:22.75 |
| 47 | Megan KrippenePlace 47 · St. Joseph's Aca | — | St. Joseph's Aca | 17:42.23 |
| 48 | Rebecca MuchnickPlace 48 · St. Joseph's Aca | — | St. Joseph's Aca | 17:43.47 |
| 49 | Sarah SmallPlace 49 · Kirkwood | — | Kirkwood | 17:44.28 |
| 50 | Kaitlyn MudraPlace 50 · Kirkwood | — | Kirkwood | 18:20.15 |
| 51 | Breanna GirensPlace 51 · Cape Central | — | Cape Central | 18:26.35 |
| 52 | Maria RulzPlace 52 · Farmington Knigh | — | Farmington Knigh | 18:41.75 |
| 53 | Claire SalzmanPlace 53 · Kirkwood | — | Kirkwood | 18:55.80 |
| 54 | Crystal ZoellnerPlace 54 · Blue Jays | — | Blue Jays | 18:59.00 |
| 55 | Catherine WolfPlace 55 · St. Joseph's Aca | — | St. Joseph's Aca | 19:08.20 |
| 56 | Libby HudsonPlace 56 · St. Joseph's Aca | — | St. Joseph's Aca | 19:38.86 |
| 57 | Sarah SchultePlace 57 · Seckman | — | Seckman | 19:42.03 |
| 58 | Alexandra MohsPlace 58 · St. Joseph's Aca | — | St. Joseph's Aca | 19:43.06 |
| 59 | Merideth BoucheinPlace 59 · Kirkwood | — | Kirkwood | 19:43.38 |
| 60 | Megan EchelePlace 60 · St. Joseph's Aca | — | St. Joseph's Aca | 19:43.98 |
| 61 | Rosy RotterPlace 61 · St. Joseph's Aca | — | St. Joseph's Aca | 19:44.73 |
| 62 | Shea WolfenkoehlerPlace 62 · Advance | — | Advance | 19:52.05 |
| 63 | Emily ThomasPlace 63 · Crystal City | — | Crystal City | 20:06.07 |
| 64 | Jada GuzmanPlace 64 · Cape Central | — | Cape Central | 20:40.22 |
| 65 | Kate ClementsPlace 65 · Kirkwood | — | Kirkwood | 20:55.77 |
| 66 | Kira MoorePlace 66 · Kirkwood | — | Kirkwood | 22:06.07 |
| 67 | Becca GerdesPlace 67 · Kirkwood | — | Kirkwood | 22:08.38 |