| 1 | Ellie LichtePlace 1 · Grade 10 · Lexington | 10 | Lexington | 18:15.2 |
| 2 | Addison SmithPlace 2 · Grade 12 · Lexington | 12 | Lexington | 18:18.3 |
| 3 | Phoebe EngelbrechtPlace 3 · Grade 11 · Lexington | 11 | Lexington | 18:25.7 PR |
| 4 | Grace MurphyPlace 4 · Grade 12 · Nerinx Hall | 12 | Nerinx Hall | 18:32.4 |
| 5 | Emery SpencerPlace 5 · Grade 9 · Joplin | 9 | Joplin | 18:34.5 PR |
| 6 | Peyton MarshallPlace 6 · Grade 10 · Francis Howell Central | 10 | Francis Howell Central | 18:39.2 PR |
| 7 | Araceli PerezPlace 7 · Grade 12 · Webb City | 12 | Webb City | 18:46.6 |
| 8 | Reagan FreemanPlace 8 · Grade 12 · Owasso | 12 | Owasso | 18:53.2 |
| 9 | Rose NichollsPlace 9 · Grade 12 · Northwest (Cedar Hill) | 12 | Northwest (Cedar Hill) | 18:56.2 PR |
| 10 | Kinslee FreemanPlace 10 · Grade 12 · Owasso | 12 | Owasso | 18:58.0 |
| 11 | Tatym BusterPlace 11 · Grade 10 · Webb City | 10 | Webb City | 18:58.6 PR |
| 12 | Evelynn HayPlace 12 · Grade 10 · Grain Valley | 10 | Grain Valley | 18:59.3 PR |
| 13 | Leah GritherPlace 13 · Grade 10 · Parkway South | 10 | Parkway South | 19:04.0 PR |
| 14 | Adysynn GonzalezPlace 14 · Grade 9 · Herculaneum | 9 | Herculaneum | 19:06.3 PR |
| 15 | Annie CornettPlace 15 · Grade 11 · Fayetteville | 11 | Fayetteville | 19:07.4 |
| 16 | Audrey JacksonPlace 16 · Grade 11 · St. Josephs Academy | 11 | St. Josephs Academy | 19:08.6 PR |
| 17 | Emily StrohscheinPlace 17 · Grade 10 · St. Josephs Academy | 10 | St. Josephs Academy | 19:09.9 |
| 18 | Olivia KlotzPlace 18 · Grade 12 · Webb City | 12 | Webb City | 19:14.1 |
| 19 | Audrey HoffmannPlace 19 · Grade 12 · Duchesne | 12 | Duchesne | 19:15.7 |
| 20 | Chloe VandaveerPlace 20 · Grade 10 · Northwest (Cedar Hill) | 10 | Northwest (Cedar Hill) | 19:20.0 PR |
| 21 | Claire EashPlace 21 · Grade 12 · Nerinx Hall | 12 | Nerinx Hall | 19:23.2 |
| 22 | Emerson ReevesPlace 22 · Grade 12 · Herculaneum | 12 | Herculaneum | 19:24.9 PR |
| 23 | Alexis ShusterPlace 23 · Grade 12 · Webb City | 12 | Webb City | 19:25.4 |
| 24 | Anna HaleyPlace 24 · Grade 11 · Fayetteville | 11 | Fayetteville | 19:27.5 |
| 25 | Sophie HirartPlace 25 · Grade 11 · Owasso | 11 | Owasso | 19:29.5 |
| 26 | Paige LoethenPlace 26 · Grade 12 · Helias Catholic | 12 | Helias Catholic | 19:31.2 |
| 27 | Tyler StamberskyPlace 27 · Grade 11 · Platte County | 11 | Platte County | 19:32.9 |
| 28 | Alexis HergenreterPlace 28 · Grade 12 · North Polk | 12 | North Polk | 19:34.7 |
| 29 | Mia ThomasPlace 29 · Grade 11 · Francis Howell Central | 11 | Francis Howell Central | 19:35.0 |
| 30 | Brylee GoodPlace 30 · Grade 10 · Staley | 10 | Staley | 19:37.5 PR |
| 31 | Harper EllermeyerPlace 31 · Grade 11 · Murphysboro | 11 | Murphysboro | 19:41.3 PR |
| 32 | Judy TennysonPlace 32 · Grade 9 · Rolla | 9 | Rolla | 19:44.1 |
| 33 | Olivia MahonPlace 33 · Grade 12 · Washington | 12 | Washington | 19:46.7 |
| 34 | Brooke BellPlace 34 · Grade 9 · North Polk | 9 | North Polk | 19:51.5 |
| 35 | Maddi KehrerPlace 35 · Grade 10 · Joplin | 10 | Joplin | 19:53.5 |
| 36 | Audrey ToewsPlace 36 · Grade 12 · Owasso | 12 | Owasso | 19:55.6 |
| 37 | Marlena WatkinsPlace 37 · Grade 10 · Northwest (Cedar Hill) | 10 | Northwest (Cedar Hill) | 19:56.9 |
| 38 | Brylee WishardPlace 38 · Grade 11 · Herculaneum | 11 | Herculaneum | 19:58.0 |
| 39 | Annika HolmstromPlace 39 · Grade 10 · Capital City | 10 | Capital City | 19:58.8 |
| 40 | Brynne SchneiderPlace 40 · Grade 11 · Francis Howell Central | 11 | Francis Howell Central | 19:59.4 PR |
| 41 | Bijoux MilienPlace 41 · Grade 12 · Owasso | 12 | Owasso | 20:00.7 |
| 42 | Jinel HollomanPlace 42 · Grade 11 · Francis Howell | 11 | Francis Howell | 20:03.8 PR |
| 43 | Madeline GaffiganPlace 43 · Grade 11 · Ladue Horton Watkins | 11 | Ladue Horton Watkins | 20:04.8 PR |
| 44 | Cecilia HolmstromPlace 44 · Grade 10 · Capital City | 10 | Capital City | 20:05.4 PR |
| 45 | Emilly LimaPlace 45 · Grade 12 · Parkway South | 12 | Parkway South | 20:06.3 |
| 46 | Sophia BainPlace 46 · Grade 11 · Kirkwood | 11 | Kirkwood | 20:07.9 |
| 47 | Avery MillerPlace 47 · Grade 12 · Aurora | 12 | Aurora | 20:09.9 |
| 48 | Adele SalvatoriPlace 48 · Grade 12 · Ladue Horton Watkins | 12 | Ladue Horton Watkins | 20:10.2 |
| 49 | Sabrina KoenekerPlace 49 · Grade 9 · Francis Howell | 9 | Francis Howell | 20:11.8 PR |
| 50 | Victoria LiPlace 50 · Grade 12 · Central (Springfield) | 12 | Central (Springfield) | 20:13.1 |
| 51 | Maggie McKayPlace 51 · Grade 12 · Kirkwood | 12 | Kirkwood | 20:14.4 |
| 52 | Emma McKinziePlace 52 · Grade 12 · Webb City | 12 | Webb City | 20:15.9 |
| 53 | Kailey HessPlace 53 · Grade 9 · Lee's Summit North | 9 | Lee's Summit North | 20:16.8 |
| 54 | Aubrianna ShadowensPlace 54 · Grade 11 · Herculaneum | 11 | Herculaneum | 20:17.8 PR |
| 55 | Aly ModrasPlace 55 · Grade 12 · Joplin | 12 | Joplin | 20:20.1 PR |
| 56 | Juneau SmithPlace 56 · Grade 9 · Francis Howell | 9 | Francis Howell | 20:20.8 PR |
| 57 | Ari MattersPlace 57 · Grade 12 · Joplin | 12 | Joplin | 20:21.7 |
| 58 | Kaydence ButtsPlace 58 · Grade 12 · Clever | 12 | Clever | 20:22.1 |
| 59 | Ellie BunnellPlace 59 · Grade 11 · North Polk | 11 | North Polk | 20:23.0 |
| 60 | Amy TennysonPlace 60 · Grade 9 · Rolla | 9 | Rolla | 20:25.0 PR |
| 61 | Lena WulffPlace 61 · Grade 12 · Washington | 12 | Washington | 20:25.6 PR |
| 62 | Amaya FergusonPlace 62 · Grade 11 · Herculaneum | 11 | Herculaneum | 20:27.2 |
| 63 | Torah CohenPlace 63 · Grade 11 · Francis Howell | 11 | Francis Howell | 20:28.9 |
| 64 | Kinley GraybillPlace 64 · Grade 11 · Staley | 11 | Staley | 20:30.4 PR |
| 65 | Cali SmithPlace 65 · Grade 12 · Clever | 12 | Clever | 20:31.2 PR |
| 66 | Breannah HolmesPlace 66 · Grade 9 · Joplin | 9 | Joplin | 20:32.2 |
| 67 | Eve LarsonPlace 67 · Grade 10 · Kirkwood | 10 | Kirkwood | 20:33.5 |
| 68 | Juliette RutledgePlace 68 · Grade 9 · Joplin | 9 | Joplin | 20:35.1 |
| 69 | Taylor GasePlace 69 · Grade 12 · Ladue Horton Watkins | 12 | Ladue Horton Watkins | 20:37.2 |
| 70 | Hannah SmithPlace 70 · Grade 11 · Ozark | 11 | Ozark | 20:37.2 |
| 71 | Madelyn JacobusPlace 71 · Grade 9 · North Polk | 9 | North Polk | 20:38.8 PR |
| 72 | Gianna GoldkampPlace 72 · Grade 11 · Francis Howell | 11 | Francis Howell | 20:39.4 PR |
| 73 | Allison MillsPlace 73 · Grade 12 · Ozark | 12 | Ozark | 20:40.0 |
| 74 | Iris HublerPlace 74 · Grade 10 · Owasso | 10 | Owasso | 20:41.5 PR |
| 75 | Carlie BakerPlace 75 · Grade 10 · Platte County | 10 | Platte County | 20:42.3 PR |
| 76 | Mary HarrisPlace 76 · Grade 12 · Ft. Zumwalt North | 12 | Ft. Zumwalt North | 20:44.7 PR |
| 77 | Katelyn VoleskyPlace 77 · Grade 10 · North Polk | 10 | North Polk | 20:45.6 PR |
| 78 | Camryn DentinoPlace 78 · Grade 10 · North Polk | 10 | North Polk | 20:46.0 |
| 79 | Amelie Petitjean-DurandPlace 79 · Grade 9 · Ft. Zumwalt West | 9 | Ft. Zumwalt West | 20:46.1 |
| 80 | Ella WiebePlace 80 · Grade 11 · Shawnee Mission South | 11 | Shawnee Mission South | 20:46.2 PR |
| 81 | Grace FergusonPlace 81 · Grade 12 · Francis Howell | 12 | Francis Howell | 20:46.3 PR |
| 82 | Elsie DavenportPlace 82 · Grade 10 · Kirkwood | 10 | Kirkwood | 20:49.7 PR |
| 83 | Makayla CarterPlace 83 · Grade 11 · Joplin | 11 | Joplin | 20:50.3 |
| 84 | Maggie BarnesPlace 84 · Grade 10 · Helias Catholic | 10 | Helias Catholic | 20:50.8 |
| 85 | Kady CathersonPlace 85 · Grade 11 · Staley | 11 | Staley | 20:52.8 |
| 86 | Olivia BlackPlace 86 · Grade 11 · Francis Howell Central | 11 | Francis Howell Central | 20:58.6 |
| 87 | Grace CronkPlace 87 · Grade 12 · Lee's Summit North | 12 | Lee's Summit North | 21:00.3 |
| 88 | Evelyn LubiewskiPlace 88 · Grade 12 · Ft. Zumwalt North | 12 | Ft. Zumwalt North | 21:00.7 |
| 89 | Claire ExnerPlace 89 · Grade 9 · Kirkwood | 9 | Kirkwood | 21:01.1 PR |
| 90 | Anna KleiboekerPlace 90 · Grade 10 · Central (Springfield) | 10 | Central (Springfield) | 21:05.5 PR |
| 91 | Emma GerdingPlace 91 · Grade 12 · Lee's Summit North | 12 | Lee's Summit North | 21:06.9 |
| 92 | Ella SebeliusPlace 92 · Grade 9 · Shawnee Mission South | 9 | Shawnee Mission South | 21:08.8 PR |
| 93 | Samantha HightowerPlace 93 · Grade 12 · Fayetteville | 12 | Fayetteville | 21:09.1 |
| 94 | Adele HayesPlace 94 · Grade 10 · Central (Springfield) | 10 | Central (Springfield) | 21:13.0 PR |
| 95 | Lily GoodwinPlace 95 · Grade 11 · Fayetteville | 11 | Fayetteville | 21:14.7 |
| 96 | Amelia KelsickPlace 96 · Grade 10 · North Polk | 10 | North Polk | 21:16.1 |
| 97 | Anna McIverPlace 97 · Grade 10 · Nerinx Hall | 10 | Nerinx Hall | 21:17.1 |
| 98 | Harper AndersonPlace 98 · Grade 9 · North Polk | 9 | North Polk | 21:17.8 PR |
| 99 | Khloe BlackPlace 99 · Grade 11 · Herculaneum | 11 | Herculaneum | 21:18.1 |
| 100 | Piper TollePlace 100 · Grade 10 · Washington | 10 | Washington | 21:19.0 |