| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Savannah Lohr | 19:19.2 | 9 | Bishop Heelan Catholic, Sioux City | 1642 | 1612 | ▲58 |
| 2 | Emma Caro | 19:59.9 | 10 | Bishop Heelan Catholic, Sioux City | 1616 | 1631 | ▼-31 |
| 3 | Allison Barber | 20:32.3 | 12 | Bishop Heelan Catholic, Sioux City | 1547 | 1555 | ▼-16 |
| 4 | Brenna Emerson | 21:57.6 | 12 | Bishop Heelan Catholic, Sioux City | 1480 | 1471 | ▲22 |
| 5 | Shaila Beige | 22:00.5 | 12 | Bishop Heelan Catholic, Sioux City | 1442 | 1441 | ▲4 |
| 6 | Afton Morran | 22:07.8 | 11 | Bishop Heelan Catholic, Sioux City | 1401 | 1400 | ▲1 |
| 7 | Felicity Young | 22:16.4 | 12 | Bishop Heelan Catholic, Sioux City | 1364 | 1371 | ▼-35 |
| 8 | Sindy Rios | 22:17.4 | 11 | Bishop Heelan Catholic, Sioux City | 1267 | 1254 | ▲22 |
| 9 | Elise Uhl | 24:54.0 | 9 | Bishop Heelan Catholic, Sioux City | 1197 | 1186 | ▲32 |
| 10 | Ann Ortmann | 24:56.1 | 9 | Bishop Heelan Catholic, Sioux City | 1170 | 1189 | ▼-67 |