| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Savannah Lohr | 19:19.2 | 9 | Bishop Heelan Catholic, Sioux City | 1659 | 1611 | ▲59 |
| 2 | Emma Caro | 19:59.9 | 10 | Bishop Heelan Catholic, Sioux City | 1631 | 1649 | ▼-32 |
| 3 | Allison Barber | 20:32.3 | 12 | Bishop Heelan Catholic, Sioux City | 1557 | 1569 | ▼-19 |
| 4 | Brenna Emerson | 21:57.6 | 12 | Bishop Heelan Catholic, Sioux City | 1487 | 1473 | ▲27 |
| 5 | Shaila Beige | 22:00.5 | 12 | Bishop Heelan Catholic, Sioux City | 1450 | 1449 | ▲3 |
| 6 | Afton Morran | 22:07.8 | 11 | Bishop Heelan Catholic, Sioux City | 1405 | 1404 | ▲1 |
| 7 | Felicity Young | 22:16.4 | 12 | Bishop Heelan Catholic, Sioux City | 1369 | 1382 | ▼-36 |
| 8 | Sindy Rios | 22:17.4 | 11 | Bishop Heelan Catholic, Sioux City | 1275 | 1258 | ▲22 |
| 9 | Elise Uhl | 24:54.0 | 9 | Bishop Heelan Catholic, Sioux City | 1203 | 1188 | ▲30 |
| 10 | Ann Ortmann | 24:56.1 | 9 | Bishop Heelan Catholic, Sioux City | 1172 | 1202 | ▼-68 |