| Place | TmPl | Time | Pace | No. | Name | Year | Tname |
|---|---|---|---|---|---|---|---|
| 1 | 19:26.6 | 6:16 | 2213 | MELISSA BROWN | SO | OAKVILLE | |
| 2 | 1 | 19:42.3 | 6:21 | 155 | JILL WHITMAN | SO | COR JESU ACADEMY |
| 3 | 2 | 20:13.4 | 6:31 | 598 | HANNAH LUCAS | SR | HOLT |
| 4 | 3 | 20:27.1 | 6:35 | 528 | KRISTEN ADAMS | SO | FRANCIS HOWELL HIGH |
| 5 | 4 | 20:28.8 | 6:36 | 3365 | BRIANNA HICKEY | SR | WEBSTER GROVES HIGH SCHOOL |
| 6 | 5 | 20:29.1 | 6:36 | 1345 | JESSY MADDOX | JR | LAFAYETTE |
| 7 | 6 | 20:38.1 | 6:39 | 539 | VALESKA HALAMICEK | JR | FRANCIS HOWELL HIGH |
| 8 | 7 | 20:43.4 | 6:41 | 1161 | KELLY CARPENTER | JR | LAFAYETTE |
| 9 | 8 | 20:51.3 | 6:43 | 2337 | TAYLORE BURKE | JR | PARKWAY CENTRAL HIGH |
| 10 | 9 | 20:53.1 | 6:44 | 2238 | ELAINE REICHERT | SO | PARKWAY CENTRAL HIGH |
| 11 | 10 | 20:59.7 | 6:46 | 588 | CHANDLER CARREON | SO | HOLT |
| 12 | 11 | 21:00.0 | 6:46 | 1287 | MADDIE HENNING | SR | LAFAYETTE |
| 13 | 12 | 21:00.7 | 6:46 | 1403 | ASHLYN PAGLIARO | SO | LAFAYETTE |
| 14 | 13 | 21:05.9 | 6:48 | 600 | ABBY PIPER | SO | HOLT |
| 15 | 14 | 21:06.3 | 6:48 | 1097 | MARY AUGUSTIN | SO | LAFAYETTE |
| 16 | 15 | 21:06.9 | 6:48 | 1154 | GRACE BUECKENDORF | JR | LAFAYETTE |
| 17 | 16 | 21:07.4 | 6:48 | 1704 | LAURA WOODS | SO | LINDBERGH |
| 18 | 17 | 21:13.5 | 6:50 | 1695 | MADDY RUSSELL | SO | LINDBERGH |
| 19 | 18 | 21:14.7 | 6:51 | 2087 | SHELBY HUMMEL | SO | MARQUETTE HS |
| 20 | 19 | 21:23.2 | 6:53 | 2232 | ANNIKA SISSON | SO | PARKWAY CENTRAL HIGH |
| 21 | 20 | 21:26.6 | 6:55 | 1337 | KATHERINE KELLY | SO | LAFAYETTE |
| 22 | 21 | 21:28.5 | 6:55 | 1693 | MEL PARIDY | SO | LINDBERGH |
| 23 | 22 | 21:29.7 | 6:56 | 547 | AMY MARX | FR | FRANCIS HOWELL HIGH |
| 24 | 23 | 21:35.7 | 6:58 | 2047 | MEGAN CASSERLY | JR | MARQUETTE HS |
| 25 | 24 | 21:35.7 | 6:58 | 597 | KARA LOUGH | SR | HOLT |
| 26 | 25 | 21:41.2 | 6:59 | 2287 | JESSE GOLDBERG | SR | PARKWAY CENTRAL HIGH |
| 27 | 26 | 21:42.6 | 7:00 | 1702 | MARINA WHITE | SR | LINDBERGH |
| 28 | 27 | 21:43.5 | 7:00 | 1683 | HANNA HAEGELE | FR | LINDBERGH |
| 29 | 21:53.6 | 7:03 | 2211 | MEGAN BERWIN | SR | OAKVILLE | |
| 30 | 28 | 21:56.3 | 7:04 | 84 | SARAH HOSTLER | JR | COR JESU ACADEMY |
| 31 | 29 | 21:57.0 | 7:04 | 78 | JESSICA GARLAND | FR | COR JESU ACADEMY |
| 32 | 30 | 21:58.1 | 7:05 | 437 | SARAH EVES | FR | EUREKA HIGH SCHOOL |
| 33 | 31 | 21:58.3 | 7:05 | 549 | JACKIE MOLINA | SO | FRANCIS HOWELL HIGH |
| 34 | 32 | 21:59.0 | 7:05 | 2235 | CECILA TARLAS | SO | PARKWAY CENTRAL HIGH |
| 35 | 33 | 21:59.4 | 7:05 | 3376 | SUZIE SCHMITT | SR | WEBSTER GROVES HIGH SCHOOL |
| 36 | 34 | 22:03.0 | 7:06 | 1700 | CLAIRE STONNER | JR | LINDBERGH |
| 37 | 35 | 22:06.4 | 7:07 | 601 | MORGAN ROSE | FR | HOLT |
| 38 | 36 | 22:09.9 | 7:09 | 553 | TIFFANY SUNDERLAND | JR | FRANCIS HOWELL HIGH |
| 39 | 37 | 22:19.0 | 7:11 | 452 | COURTNEY PINNELL | FR | EUREKA HIGH SCHOOL |
| 40 | 38 | 22:22.2 | 7:12 | 2477 | MARIE STORER | SR | PARKWAY NORTH |
| 41 | 39 | 22:23.6 | 7:13 | 458 | SAMANTHA UELK | SR | EUREKA HIGH SCHOOL |
| 42 | 40 | 22:24.8 | 7:13 | 435 | ALEX DAVIS | SR | EUREKA HIGH SCHOOL |
| 43 | 41 | 22:35.9 | 7:17 | 2063 | ELLY FLORES | SO | MARQUETTE HS |
| 44 | 42 | 22:36.0 | 7:17 | 440 | ELLIE GRIMSHAW | FR | EUREKA HIGH SCHOOL |
| 45 | 43 | 22:46.8 | 7:20 | 61 | MEG BUCKLEY | SR | COR JESU ACADEMY |
| 46 | 44 | 22:49.8 | 7:21 | 3366 | EMMA JOHNSON | FR | WEBSTER GROVES HIGH SCHOOL |
| 47 | 45 | 22:53.2 | 7:22 | 591 | MEGHAN EDWARDS | JR | HOLT |
| 48 | 46 | 22:54.3 | 7:23 | 107 | ELAINE MAHON | SO | COR JESU ACADEMY |
| 49 | 47 | 22:56.9 | 7:24 | 3362 | JAMIE GARLAND | SR | WEBSTER GROVES HIGH SCHOOL |
| 50 | 48 | 22:59.8 | 7:25 | 450 | EILISH OVERBY | SO | EUREKA HIGH SCHOOL |