| 1 | Kristen AdamsPlace 1 · Grade SO · Francis Howell | SO | Francis Howell | 19:04.89 | 1 |
| 2 | Sophia RacettePlace 2 · Grade FR · Nerinx Hall | FR | Nerinx Hall | 19:17.33 | 2 |
| 3 | Leah KrausePlace 3 · Grade SR · Francis Howell | SR | Francis Howell | 19:56.09 | 3 |
| 4 | Whitney AdamsPlace 4 · Grade JR · Francis Howell | JR | Francis Howell | 20:00.44 | 4 |
| 5 | Claire MinnickPlace 5 · Grade SR · Nerinx Hall | SR | Nerinx Hall | 20:08.68 | 5 |
| 6 | Hannah LucasPlace 6 · Grade SR · Holt | SR | Holt | 20:13.19 | 6 |
| 7 | Valeska HalamicekPlace 7 · Grade JR · Francis Howell | JR | Francis Howell | 20:16.42 | 7 |
| 8 | Maddie OrfPlace 8 · Grade JR · I.W.A. | JR | I.W.A. | 20:24.76 | 8 |
| 9 | Katie WrightPlace 9 · Grade SR · Ft. Zumwalt West | SR | Ft. Zumwalt West | 20:31.75 | 9 |
| 10 | Lexi BoschertPlace 10 · Grade JR · St. Joseph's | JR | St. Joseph's | 20:32.79 | 10 |
| 11 | Alexis HappePlace 11 · Grade SO · F.H.N. | SO | F.H.N. | 20:34.01 | 11 |
| 12 | Haley DelgadoPlace 12 · Grade SR · Ft. Zumwalt West | SR | Ft. Zumwalt West | 20:34.43 | 12 |
| 13 | Brittney KennedyPlace 13 · Grade FR · F.H.C. | FR | F.H.C. | 20:44.24 | — |
| 14 | Maddie HetlagePlace 14 · Grade SO · Nerinx Hall | SO | Nerinx Hall | 20:46.42 | 13 |
| 15 | Chandler CarreonPlace 15 · Grade SO · Holt | SO | Holt | 20:46.45 | 14 |
| 16 | Alison BarkerPlace 16 · Grade SR · Francis Howell | SR | Francis Howell | 20:51.93 | 15 |
| 17 | Erica AtnipPlace 17 · Grade FR · Hazelwood West | FR | Hazelwood West | 20:52.80 | — |
| 18 | Abby PiperPlace 18 · Grade SO · Holt | SO | Holt | 20:53.80 | 16 |
| 19 | Hailey VanDerLeestPlace 19 · Grade FR · Nerinx Hall | FR | Nerinx Hall | 20:54.86 | 17 |
| 20 | Sydney VossPlace 20 · Grade SR · F.H.C. | SR | F.H.C. | 20:55.24 | — |
| 21 | Amy MarxPlace 21 · Grade FR · Francis Howell | FR | Francis Howell | 20:55.55 | 18 |
| 22 | Sarah FogartyPlace 22 · Grade JR · Ft. Zumwalt West | JR | Ft. Zumwalt West | 20:56.37 | 19 |
| 23 | Katie AndersonPlace 23 · Grade SO · Nerinx Hall | SO | Nerinx Hall | 20:56.55 | 20 |
| 24 | Hailey PorterPlace 24 · Grade JR · Ft. Zumwalt West | JR | Ft. Zumwalt West | 20:57.86 | 21 |
| 25 | Emma JohnsonPlace 25 · Grade FR · Webster Groves | FR | Webster Groves | 20:59.51 | 22 |
| 26 | Megan WhiteheadPlace 26 · Grade JR · I.W.A. | JR | I.W.A. | 20:59.96 | 23 |
| 27 | Caitlin GervichPlace 27 · Grade SO · Ft. Zumwalt South | SO | Ft. Zumwalt South | 21:00.05 | — |
| 28 | Rebecca AshburnPlace 28 · Grade FR · Troy Buchanan | FR | Troy Buchanan | 21:02.29 | — |
| 29 | Kara LoughPlace 29 · Grade SR · Holt | SR | Holt | 21:03.09 | 24 |
| 30 | Brittney WatsonPlace 30 · Grade JR · Ft. Zumwalt East | JR | Ft. Zumwalt East | 21:04.44 | — |
| 31 | Morgan RosePlace 31 · Grade FR · Holt | FR | Holt | 21:07.57 | 25 |
| 32 | Tess O'BrienPlace 32 · Grade JR · Nerinx Hall | JR | Nerinx Hall | 21:20.61 | 26 |
| 33 | Tiffany SunderlandPlace 33 · Grade JR · Francis Howell | JR | Francis Howell | 21:24.15 | 27 |
| 34 | Jenny RetzlaffPlace 34 · Grade JR · Ft. Zumwalt West | JR | Ft. Zumwalt West | 21:24.17 | 28 |
| 35 | Jillian FieldsPlace 35 · Grade SO · F.H.N. | SO | F.H.N. | 21:27.90 | 29 |
| 36 | Brianna HickeyPlace 36 · Grade SR · Webster Groves | SR | Webster Groves | 21:29.37 | 30 |
| 37 | Nikki HaneyPlace 37 · Grade SO · Troy Buchanan | SO | Troy Buchanan | 21:40.14 | — |
| 38 | Kelsey MurphyPlace 38 · Grade SO · I.W.A. | SO | I.W.A. | 21:44.95 | 31 |
| 39 | Aly ColemanPlace 39 · Grade SR · Ft. Zumwalt West | SR | Ft. Zumwalt West | 21:45.00 | 32 |
| 40 | Emily JonaganPlace 40 · Grade SR · Nerinx Hall | SR | Nerinx Hall | 21:47.94 | 33 |
| 41 | Sydney O'BrienPlace 41 · Grade SO · Ft. Zumwalt South | SO | Ft. Zumwalt South | 21:52.20 | — |
| 42 | Suzie SchmittPlace 42 · Grade SR · Webster Groves | SR | Webster Groves | 21:59.42 | 34 |
| 43 | Annabel FinkelPlace 43 · Grade FR · Webster Groves | FR | Webster Groves | 21:59.52 | 35 |
| 44 | Brianna SchroerPlace 44 · Grade SR · F.H.N. | SR | F.H.N. | 22:01.05 | 36 |
| 45 | Sarah RaneyPlace 45 · Grade JR · St. Joseph's | JR | St. Joseph's | 22:03.02 | 37 |
| 46 | Carly BorthPlace 46 · Grade SO · Webster Groves | SO | Webster Groves | 22:03.08 | 38 |
| 47 | Abby WortmannPlace 47 · Grade FR · Troy Buchanan | FR | Troy Buchanan | 22:04.77 | — |
| 48 | Jamie GarlandPlace 48 · Grade SR · Webster Groves | SR | Webster Groves | 22:16.14 | 39 |
| 49 | Tori KrusePlace 49 · Grade SO · I.W.A. | SO | I.W.A. | 22:19.57 | 40 |
| 50 | Kaitlyn BouchatPlace 50 · Grade SO · Holt | SO | Holt | 22:19.96 | 41 |
| 51 | Courtney CoePlace 51 · Grade JR · Ft. Zumwalt West | JR | Ft. Zumwalt West | 22:21.28 | 42 |
| 52 | Emma BardenPlace 52 · Grade SO · St. Joseph's | SO | St. Joseph's | 22:22.16 | 43 |
| 53 | Dominique MeyerPlace 53 · Grade FR · F.H.N. | FR | F.H.N. | 22:38.26 | 44 |
| 54 | Brittany McGinnisPlace 54 · Grade SO · I.W.A. | SO | I.W.A. | 22:43.50 | 45 |
| 55 | Anna PelchPlace 55 · Grade JR · St. Joseph's | JR | St. Joseph's | 22:43.77 | 46 |
| 56 | Sarah HicksPlace 56 · Grade SO · Holt | SO | Holt | 23:06.66 | 47 |
| 57 | Morgan BondPlace 57 · Grade SO · Timberland | SO | Timberland | 23:07.53 | — |
| 58 | Miranda HastyPlace 58 · Grade FR · Timberland | FR | Timberland | 23:09.41 | — |
| 59 | Jessica WashingtonPlace 59 · Grade FR · I.W.A. | FR | I.W.A. | 23:11.48 | 48 |
| 60 | Emily LeBaubePlace 60 · Grade FR · Webster Groves | FR | Webster Groves | 23:15.65 | 49 |
| 61 | Courtney VishyPlace 61 · Grade SO · F.H.N. | SO | F.H.N. | 23:17.91 | 50 |
| 62 | Miranda KotrabaPlace 62 · Grade FR · Hazelwood West | FR | Hazelwood West | 23:19.77 | — |
| 63 | Megan KrippenePlace 63 · Grade JR · St. Joseph's | JR | St. Joseph's | 23:39.21 | 51 |
| 64 | Tayler RosePlace 64 · Grade JR · Ritenour | JR | Ritenour | 23:44.21 | — |
| 65 | Hannah MillerPlace 65 · Grade SR · F.H.N. | SR | F.H.N. | 23:47.75 | 52 |
| 66 | angel matthewsPlace 66 · Grade FR · Normandy | FR | Normandy | 23:47.92 | — |
| 67 | Ali WagnerPlace 67 · Grade SO · St. Joseph's | SO | St. Joseph's | 24:15.61 | 53 |
| 68 | Victoria RicoPlace 68 · Grade FR · Ritenour | FR | Ritenour | 24:19.45 | — |
| 69 | Elizabeth LoePlace 69 · Grade FR · St. Joseph's | FR | St. Joseph's | 24:28.27 | 54 |
| 70 | Tara DorenkampPlace 70 · Grade SR · I.W.A. | SR | I.W.A. | 25:08.21 | 55 |
| 71 | Danielle MeyerPlace 71 · Grade SR · F.H.N. | SR | F.H.N. | 25:57.87 | 56 |
