| 1 | Chelsea DrumPlace 1 · Grade 11 · Jackson | 11 | Jackson | 19:37.88 |
| 2 | Elena ColemanPlace 2 · Grade 10 · Cor Jesu Academy | 10 | Cor Jesu Academy | 20:46.50 |
| 3 | Carli KnottPlace 3 · Grade 11 · Jackson | 11 | Jackson | 20:48.73 |
| 4 | Amanda HeardPlace 4 · Grade 12 · Cor Jesu Academy | 12 | Cor Jesu Academy | 20:49.93 |
| 5 | Hanna HaegelePlace 5 · Grade 12 · Lindbergh | 12 | Lindbergh | 21:10.42 |
| 6 | Katie SligerPlace 6 · Grade 9 · Poplar Bluff | 9 | Poplar Bluff | 21:19.07 |
| 7 | Anastasia ComptonPlace 7 · Grade 10 · Jackson | 10 | Jackson | 21:20.12 |
| 8 | Tayler WinickPlace 8 · Grade 12 · Jackson | 12 | Jackson | 21:28.96 |
| 9 | Kirra AntonelliPlace 9 · Grade 11 · Northwest (Cedar Hill) | 11 | Northwest (Cedar Hill) | 21:30.04 |
| 10 | Elaina HubbellPlace 10 · Grade 11 · Mehlville | 11 | Mehlville | 21:34.71 |
| 11 | Megan BarnumPlace 11 · Grade 10 · Jackson | 10 | Jackson | 21:37.59 |
| 12 | Hope BensonPlace 12 · Grade 10 · Lindbergh | 10 | Lindbergh | 21:41.61 |
| 13 | Josie KorenakPlace 13 · Grade 10 · Lindbergh | 10 | Lindbergh | 21:45.57 |
| 14 | Hannah BoppPlace 14 · Grade 12 · Hillsboro | 12 | Hillsboro | 21:48.16 |
| 15 | Cassidy HarrisPlace 15 · Grade 12 · Poplar Bluff | 12 | Poplar Bluff | 21:50.37 |
| 16 | Aly VanCardoPlace 16 · Grade 10 · Lindbergh | 10 | Lindbergh | 21:53.48 |
| 17 | Emma HogrebePlace 17 · Grade 12 · Cor Jesu Academy | 12 | Cor Jesu Academy | 21:55.57 |
| 18 | Bridget CostelloPlace 18 · Grade 9 · Oakville | 9 | Oakville | 22:10.91 |
| 19 | Mary RileyPlace 19 · Grade 11 · Lindbergh | 11 | Lindbergh | 22:14.57 |
| 20 | Mackenzie WeakleyPlace 20 · Grade 12 · Farmington | 12 | Farmington | 22:22.67 |
| 21 | Emily BayerPlace 21 · Grade 9 · Oakville | 9 | Oakville | 22:22.76 |
| 22 | Courtney HahsPlace 22 · Grade 10 · Jackson | 10 | Jackson | 22:25.65 |
| 23 | Abby MeyerPlace 23 · Grade 10 · Cor Jesu Academy | 10 | Cor Jesu Academy | 22:27.19 |
| 24 | Leah HechtPlace 24 · Grade 11 · Jackson | 11 | Jackson | 22:28.67 |
| 25 | Sydney FeltensteinPlace 25 · Grade 9 · Lindbergh | 9 | Lindbergh | 22:29.85 |
| 26 | Moira KurtzPlace 26 · Grade 9 · Farmington | 9 | Farmington | 22:31.58 |
| 27 | Kelly KoesterPlace 27 · Grade 10 · Hillsboro | 10 | Hillsboro | 22:32.64 |
| 28 | Molly StuckmeyerPlace 28 · Grade 11 · Northwest (Cedar Hill) | 11 | Northwest (Cedar Hill) | 22:34.38 |
| 29 | Renee EllegoodPlace 29 · Grade 11 · Cor Jesu Academy | 11 | Cor Jesu Academy | 22:42.84 |
| 30 | Maddie PowersPlace 30 · Grade 11 · Oakville | 11 | Oakville | 22:47.49 |
| 31 | Abbey WesterPlace 31 · Grade 10 · Cor Jesu Academy | 10 | Cor Jesu Academy | 22:49.52 |
| 32 | Magalie ThauvettePlace 32 · Grade 10 · Oakville | 10 | Oakville | 22:54.98 |
| 33 | Kristen CarterPlace 33 · Grade 10 · Mehlville | 10 | Mehlville | 23:04.52 |
| 34 | Nidhi PatelPlace 34 · Grade 9 · Farmington | 9 | Farmington | 23:06.33 |
| 35 | Olivia CollierPlace 35 · Grade 10 · Cor Jesu Academy | 10 | Cor Jesu Academy | 23:13.68 |
| 36 | Emily MuellerPlace 36 · Grade 10 · Seckman | 10 | Seckman | 23:18.57 |
| 37 | Alexis DreyerPlace 37 · Grade 9 · Seckman | 9 | Seckman | 23:25.40 |
| 38 | Haley WhitePlace 38 · Grade 12 · Central (Cape Girardeau) | 12 | Central (Cape Girardeau) | 23:25.97 |
| 39 | Megan BartzPlace 39 · Grade 9 · Lindbergh | 9 | Lindbergh | 23:26.05 |
| 40 | Zakia HickmanPlace 40 · Grade 11 · Poplar Bluff | 11 | Poplar Bluff | 23:27.21 |
| 41 | Madison VickeryPlace 41 · Grade 11 · Northwest (Cedar Hill) | 11 | Northwest (Cedar Hill) | 23:27.80 |
| 42 | Kaitlyn SpehPlace 42 · Grade 11 · Northwest (Cedar Hill) | 11 | Northwest (Cedar Hill) | 23:28.69 |
| 43 | Sarah KellyPlace 43 · Grade 10 · Northwest (Cedar Hill) | 10 | Northwest (Cedar Hill) | 23:29.00 |
| 44 | Courtney ChitwoodPlace 44 · Grade 10 · Mehlville | 10 | Mehlville | 23:34.16 |
| 45 | Allison BlattnerPlace 45 · Grade 11 · Fox | 11 | Fox | 23:41.16 PR |
| 46 | Alaina SandersPlace 46 · Grade 9 · Farmington | 9 | Farmington | 23:48.12 |
| 47 | Kelsey EvansPlace 47 · Grade 11 · Seckman | 11 | Seckman | 23:48.71 |
| 48 | Jessica BrownPlace 48 · Grade 11 · Mehlville | 11 | Mehlville | 23:50.17 |
| 49 | Christen HopferPlace 49 · Grade 12 · Hillsboro | 12 | Hillsboro | 23:51.51 |
| 50 | Bailey BoylanPlace 50 · Grade 9 · Hillsboro | 9 | Hillsboro | 23:53.36 |
| 51 | Haley LonghiblerPlace 51 · Grade 9 · Northwest (Cedar Hill) | 9 | Northwest (Cedar Hill) | 23:59.33 |
| 52 | Emma CooperPlace 52 · Grade 12 · Poplar Bluff | 12 | Poplar Bluff | 24:10.98 |
| 53 | Madison ThompsonPlace 53 · Grade 11 · Farmington | 11 | Farmington | 24:15.12 |
| 54 | MacKenzie DowdPlace 54 · Grade 9 · Poplar Bluff | 9 | Poplar Bluff | 24:16.86 |
| 55 | Brooke AnthoniesPlace 55 · Grade 9 · Seckman | 9 | Seckman | 24:25.05 |
| 56 | Medelein McDonaldPlace 56 · Grade 12 · Central (Cape Girardeau) | 12 | Central (Cape Girardeau) | 24:25.78 |
| 57 | Kimberly RamosPlace 57 · Grade 9 · Farmington | 9 | Farmington | 24:27.84 |
| 58 | Jenna AkersPlace 58 · Grade 9 · Hillsboro | 9 | Hillsboro | 24:40.38 |
| 59 | Erin SmithPlace 59 · Grade 10 · Northwest (Cedar Hill) | 10 | Northwest (Cedar Hill) | 24:43.55 |
| 60 | Camryn WillPlace 60 · Grade 9 · Farmington | 9 | Farmington | 24:44.41 |
| 61 | Brooke SlaytonPlace 61 · Grade 9 · Poplar Bluff | 9 | Poplar Bluff | 24:51.10 |
| 62 | Esther RobinsonPlace 62 · Grade 10 · Fox | 10 | Fox | 24:56.22 |
| 63 | Kyra PearlPlace 63 · Grade 9 · Central (Cape Girardeau) | 9 | Central (Cape Girardeau) | 25:00.67 PR |
| 64 | Alexus WhaleyPlace 64 · Grade 10 · Seckman | 10 | Seckman | 25:05.73 |
| 65 | Joclyn KeyPlace 65 · Grade 10 · Seckman | 10 | Seckman | 25:06.77 |
| 66 | Abby StreetPlace 66 · Grade 9 · Fox | 9 | Fox | 25:31.79 |
| 67 | Lindsay PoitrasPlace 67 · Grade 9 · Fox | 9 | Fox | 25:38.78 |
| 68 | Sarah RamboPlace 68 · Grade 11 · Fox | 11 | Fox | 25:48.91 |
| 69 | Abbey HarashePlace 69 · Grade 12 · Oakville | 12 | Oakville | 26:17.33 |
| 70 | Kristin CooperPlace 70 · Grade 10 · Poplar Bluff | 10 | Poplar Bluff | 26:24.97 |
| 71 | Oleysa GoginaPlace 71 · Grade 12 · Hillsboro | 12 | Hillsboro | 26:26.15 |
| 72 | Carly BloethnerPlace 72 · Grade 11 · Fox | 11 | Fox | 26:38.89 |
| 73 | Adele RaquepawPlace 73 · Grade 10 · Mehlville | 10 | Mehlville | 26:43.52 |
| 74 | Gabby CervantesPlace 74 · Grade 11 · Hillsboro | 11 | Hillsboro | 26:49.05 |
| 75 | Lanie ThompsonPlace 75 · Grade 12 · Mehlville | 12 | Mehlville | 27:02.41 |
| 76 | Madison MitchellPlace 76 · Grade 11 · Fox | 11 | Fox | 27:06.68 |
| 77 | Elizabeth UstinovPlace 77 · Grade 10 · Central (Cape Girardeau) | 10 | Central (Cape Girardeau) | 27:26.84 |
| 78 | Jamie PybasPlace 78 · Grade 10 · Oakville | 10 | Oakville | 27:49.83 |
| 79 | September KnuppPlace 79 · Grade 9 · Central (Cape Girardeau) | 9 | Central (Cape Girardeau) | 28:08.20 |
| 80 | Peyton FenstermakerPlace 80 · Grade 10 · Seckman | 10 | Seckman | 28:13.47 |