| 1 | Alanza Montez | 2022 | Carl Junction High School | 18:25.25 | 1 | |
| 2 | Katelynn Quade | 2021 | Marquette High School | 18:37.60 | 2.5 | |
| 2 | Marissa Dick | 2020 | Raymore-Peculiar High School | 18:37.60 | 2.5 | |
| 4 | Mia Harris | 2020 | West Plains High School | 18:45.80 | 4 | |
| 5 | Elizabeth Stinson | 2020 | Liberty North High School | 18:55.50 | 5 | |
| 6 | Sally Cybulski | 2022 | Kickapoo High School | 18:58.90 | 6 | |
| 7 | Alyssa Forbes | 2021 | Lindbergh High School | 18:59.04 | 7 | |
| 8 | Madison Hulsey | 2020 | Lee's Summit West High School | 18:59.60 | 8 | |
| 9 | Stephanie Anthonies | 2020 | Seckman High School | 19:05.65 | 9 | |
| 10 | McKenna Butler | 2020 | Lee's Summit West High School | 19:08.00 | 10 | |
| 11 | Addie Mathis | 2020 | Lee's Summit West High School | 19:10.00 | 11 | |
| 12 | Kayla Voelker | 2021 | Eureka High School | 19:10.15 | 12 | |
| 13 | Mia Reed | 2021 | Washington High School | 19:11.50 | 13 | |
| 14 | Kelsey Johnson | 2021 | Lafayette (Wildwood) High School | 19:13.50 | 14 | |
| 15 | Ally Kruger | 2022 | Liberty (Wentzville) High School | 19:14.34 | 15 | |
| 16 | Riley Hawkins | 2022 | Webb City High School | 19:14.90 | 16 | |
| 17 | Madelyn Gray | 2021 | Ft. Zumwalt South High School | 19:18.98 | 17 | |
| 18 | Alyna Thibault | 2020 | Blue Springs High School | 19:19.90 | 18 | |
| 19 | Jayme Opdahl | 2021 | Blue Springs South High School | 19:20.90 | 19 | |
| 20 | Lauren Low | 2020 | Blue Springs South High School | 19:21.00 | 20 | |
| 21 | Tabetha Boldt | 2021 | Warrensburg High School | 19:21.70 | 21 | |
| 22 | Mya Trober | 2022 | Blue Springs South High School | 19:23.40 | 22 | |
| 23 | Marisa Jacknewitz | 2022 | Nerinx Hall High School | 19:24.70 | 23 | |
| 24 | Molly Rolwes | 2020 | Cor Jesu Academy | 19:24.80 | 24 | |
| 25 | Sarah Hickenbotham | 2021 | Kirkwood High School | 19:26.20 | 25 | |
| 26 | Alexandra Hamre | 2020 | Staley High School | 19:26.57 | 26 | |
| 27 | Gracyn Pietrusinski | 2020 | Holt High School | 19:27.31 | 27 | |
| 28 | Sarah Russom | 2021 | Francis Howell High School | 19:28.05 | 28 | |
| 29 | Ella Casey | 2022 | Grain Valley High School | 19:29.50 | 29 | |
| 30 | Emma Wright | 2021 | Hillsboro High School | 19:33.31 | 30 | |
| 31 | Leah Kleekamp | 2022 | Eureka High School | 19:34.30 | 31 | |
| 32 | Lucy Ndungu | 2021 | Pattonville High School | 19:34.36 | 32 | |
| 33 | Makayla Clark | 2022 | Lee's Summit High School | 19:34.54 | 33 | |
| 34 | Victoria Penney | 2020 | Marquette High School | 19:35.20 | 34 | |
| 35 | Jayna Gunter | 2022 | West Plains High School | 19:35.30 | 35 | |
| 36 | Samantha Brown | 2022 | Northwest (Cedar Hill) High School | 19:35.81 | 36 | |
| 37 | Adelaide Reaser | 2022 | Hickman High School | 19:36.30 | 37 | |
| 38 | Emma Puetz | 2020 | Rolla High School | 19:36.36 | 38 | |
| 39 | Haley Baldwin | 2022 | Lee's Summit West High School | 19:37.10 | 39 | |
| 40 | Kate Pogue | 2020 | Marquette High School | 19:37.90 | 40 | |
| 41 | Mallory Gard | 2022 | Rock Bridge High School | 19:38.25 | 41 | |
| 42 | Alicen Ashley | 2022 | Nixa High School | 19:38.30 | 42 | |
| 43 | Annie Mccord | 2020 | Lee's Summit North High School | 19:39.10 | 43 | |
| 44 | Anna Lombardo | 2021 | Eureka High School | 19:40.10 | 44 | |
| 45 | Tabitha Bevan | 2022 | Parkway North High School | 19:41.40 | -- | |
| 46 | Claire Meisch | 2020 | Northwest (Cedar Hill) High School | 19:41.81 | 45 | |
| 47 | Maci Steuber | 2022 | Rock Bridge High School | 19:42.41 | 46 | |
| 48 | Madilyn Moore | 2021 | Timberland High School | 19:43.04 | 47 | |
| 49 | Frances Luna | 2022 | Cor Jesu Academy | 19:43.22 | 48 | |
| 50 | Ruthie Cox | 2020 | Lee's Summit West High School | 19:45.30 | 49 | |
| 51 | Mckenna Ledgerwood | 2022 | Blue Springs South High School | 19:45.70 | 50 | |
| 52 | Kacey Duvall | 2020 | Central (St. Joseph) High School | 19:48.30 | 51 | |
| 53 | Anna Warren | 2020 | Marquette High School | 19:49.10 | 52 | |
| 54 | Kaylee Lambe | 2022 | West Plains High School | 19:49.64 | 53 | |
| 55 | Grace Murphy | 2020 | Kirkwood High School | 19:50.80 | 54.5 | |
| 55 | Marie Prindiville | 2021 | Nerinx Hall High School | 19:50.80 | 54.5 | |
| 57 | Emily Sipp | 2021 | Parkway West High School | 19:52.00 | 56 | |
| 58 | Mackenzie Montandon | 2020 | Oakville High School | 19:52.29 | 57 | |
| 59 | Kathryn Yates | 2022 | Parkway West High School | 19:52.40 | 58 | |
| 60 | Isabelle McGuire | 2020 | Nerinx Hall High School | 19:53.70 | 59 | |
| 61 | Leah Selm | 2021 | Parkway West High School | 19:53.80 | 60 | |
| 62 | Jessica Donnelly | 2021 | Washington High School | 19:56.90 | 61 | |
| 63 | Savannah Lesher | 2021 | Eureka High School | 19:57.10 | 62 | |
| 64 | Jenari Lopez | 2020 | Carthage High School | 19:58.00 | 63 | |
| 65 | Alexia Jimenez | 2020 | Webb City High School | 19:59.90 | 64 | |
| 66 | Keilah Wilkes | 2022 | Pattonville High School | 20:00.13 | 65 | |
| 67 | Madelyn Schillinger | 2022 | Nerinx Hall High School | 20:00.20 | 66 | |
| 68 | Lilly Hupke | 2022 | St. Teresa's Academy | 20:02.40 | 67 | |
| 69 | Ellie Dimond | 2020 | Rock Bridge High School | 20:03.95 | 68 | |
| 70 | Samantha Vanessendelft | 2020 | Parkway South High School | 20:04.95 | 69 | |
| 71 | Myah Hough | 2022 | Lebanon High School | 20:05.45 | 70 | |
| 72 | Elizabeth Kitchin | 2022 | Ozark High School | 20:10.67 | 71 | |
| 73 | Mack Flynn | 2022 | Francis Howell High School | 20:11.54 | 72 | |
| 74 | Hannah Basom | 2020 | Lafayette (Wildwood) High School | 20:13.58 | 73 | |
| 75 | Alexis Edgar | 2020 | Francis Howell High School | 20:14.21 | 74 | |
| 76 | Emma Caplinger | 2020 | Parkway West High School | 20:14.40 | 75 | |
| 77 | Marissa Kraus | 2020 | Hickman High School | 20:16.50 | 76 | |
| 78 | Brayden Kantola | 2022 | West Plains High School | 20:17.10 | 77 | |
| 79 | Lelise Mekonnin | 2020 | Park Hill High School | 20:17.40 | 78 | |
| 80 | Jacqueline Hensley | 2020 | Jefferson City High School | 20:17.86 | 79 | |
| 81 | Sydney Swan | 2022 | St. Teresa's Academy | 20:18.27 | 80 | |
| 82 | Paige Fallis | 2020 | Blue Springs South High School | 20:19.00 | 81.5 | |
| 82 | Raelyn Kirchhoff | 2020 | Raymore-Peculiar High School | 20:19.00 | 81.5 | |
| 84 | Kaitlynn Franks | 2020 | Carl Junction High School | 20:19.11 | 83 | |
| 85 | Abigail Pendergraft | 2020 | Webb City High School | 20:19.40 | 84 | |
| 86 | Skyelar Nelson | 2021 | Park Hill South High School | 20:19.46 | 85 | |
| 87 | Ashley Mcmahon | 2020 | Seckman High School | 20:19.65 | 86 | |
| 88 | Kirsten Johnson | 2021 | Liberty North High School | 20:20.59 | 87 | |
| 89 | Emma Neal | 2022 | Timberland High School | 20:20.92 | 88 | |
| 90 | Sadie Hutchinson | 2021 | West Plains High School | 20:21.21 | 89 | |
| 91 | Peri Welch | 2021 | Hickman High School | 20:21.45 | 90 | |
| 92 | Hope Ware | 2021 | Lafayette (Wildwood) High School | 20:22.35 | 91 | |
| 93 | Olivia Declue | 2021 | Rock Bridge High School | 20:22.70 | 92 | |
| 94 | Paige Snider | 2020 | Park Hill South High School | 20:22.80 | 93 | |
| 95 | Kylie Ghormley | 2021 | Eureka High School | 20:24.97 | 94 | |
| 96 | Emily Leipold | 2020 | Timberland High School | 20:25.34 | 95 | |
| 97 | Lilly Jiang | 2020 | Lindbergh High School | 20:25.38 | 96 | |
| 98 | Courtney Reid | 2020 | Eureka High School | 20:25.90 | 97 | |
| 99 | Emily Pesselato | 2020 | Mehlville High School | 20:25.93 | 98 | |
| 100 | Riley Goring | 2021 | Marquette High School | 20:26.00 | 99 | |
| 101 | Ella Leigh | 2022 | Hickman High School | 20:27.30 | 100 | |
| 102 | Nancy Lewandowski | 2022 | Hickman High School | 20:29.26 | 101 | |
| 103 | Audrey May | 2020 | Northwest (Cedar Hill) High School | 20:29.46 | 102 | |
| 104 | Madelyn Newsom | 2020 | Waynesville High School | 20:29.95 | 103 | |
| 105 | Cami Crouch | 2022 | Nerinx Hall High School | 20:30.80 | 104 | |
| 106 | Makayla Kerns | 2020 | Central (St. Joseph) High School | 20:31.00 | 105 | |
| 107 | Brooklyn Watkins | 2021 | Blue Springs High School | 20:31.05 | 106 | |
| 108 | Valerie Holcomb | 2021 | Grain Valley High School | 20:31.10 | 107 | |
| 109 | Emily Twedell | 2020 | Timberland High School | 20:31.89 | 108 | |
| 110 | Lily Henkle | 2020 | Notre Dame de Sion High School | 20:32.00 | 109 | |
| 111 | Grace Schwope | 2020 | Central (St. Joseph) High School | 20:33.50 | 110 | |
| 112 | Avery Blakley | 2020 | Park Hill High School | 20:33.60 | 111 | |
| 113 | Maddie Klippenstein | 2021 | Platte County High School | 20:33.80 | 112 | |
| 114 | Maggie May | 2021 | Francis Howell High School | 20:33.96 | 113 | |
| 115 | Elizabeth Henderson | 2021 | Hickman High School | 20:34.59 | 114 | |
| 116 | Lily Madden | 2021 | Lee's Summit North High School | 20:34.60 | 115 | |
| 117 | Brooke Walker | 2022 | Rock Bridge High School | 20:34.63 | 116 | |
| 118 | Mallory Harvatin | 2021 | Ft. Zumwalt South High School | 20:35.87 | 117 | |
| 119 | Adrienne Rockette | 2022 | Liberty (Wentzville) High School | 20:36.24 | 118 | |
| 120 | Jenna Schwager | 2020 | Lee's Summit West High School | 20:37.00 | 119.5 | |
| 120 | Taylor Giger | 2021 | Platte County High School | 20:37.00 | 119.5 | |
| 122 | Zinnia Castro | 2022 | Webster Groves High School | 20:37.25 | 121 | |
| 123 | Gracyn Kloth | 2020 | Raymore-Peculiar High School | 20:37.90 | 122 | |
| 124 | Lydia Lehmbeck | 2021 | Ft. Zumwalt West High School | 20:38.41 | 123 | |
| 125 | Breanna Mathes | 2022 | Farmington High School | 20:38.60 | 124 | |
| 126 | Abbigael Woods | 2020 | Liberty (Wentzville) High School | 20:39.02 | 125 | |
| 127 | Lena Liang | 2020 | Ladue Horton Watkins High School | 20:39.20 | 126 | |
| 128 | Delaney Hupke | 2020 | St. Teresa's Academy | 20:39.65 | 127 | |
| 129 | Mileah Metcalf | 2021 | Webb City High School | 20:39.70 | 128 | |
| 130 | Keaton Ibendahl | 2020 | Nerinx Hall High School | 20:39.90 | 129 | |
| 131 | Mayson Montez | 2020 | Carl Junction High School | 20:40.00 | 130 | |
| 132 | Emma Hubbell | 2020 | Mehlville High School | 20:40.46 | 131 | |
| 133 | Alexandra (Lexi) Frederick | 2020 | Warrenton High School | 20:40.78 | -- | |
| 134 | Brooklyn Niebaum | 2020 | Park Hill High School | 20:41.20 | 132 | |
| 135 | Alexandra Fisher | 2020 | Liberty North High School | 20:42.31 | 133 | |
| 136 | Layla Fliege | 2022 | Jackson High School | 20:42.51 | 134 | |
| 137 | Callie Cox | 2020 | Ladue Horton Watkins High School | 20:42.70 | 135 | |
| 138 | Jasmyn Douglas | 2021 | Republic High School | 20:43.50 | -- | |
| 139 | Thora Pearson | 2020 | Kirkwood High School | 20:43.80 | 136 | |
| 140 | Hannah Rossman | 2021 | Liberty (Wentzville) High School | 20:45.68 | 137 | |
| 141 | Lydia Grier | 2021 | Central (St. Joseph) High School | 20:46.40 | 138 | |
| 142 | Meridith O'donnell | 2021 | St. Teresa's Academy | 20:46.60 | 139 | |
| 143 | SADIE HUTCHINSON | 2021 | West Plains High School | 20:46.76 | 140 | |
| 144 | Katie Gray | 2020 | Joplin High School | 20:46.77 | 141 | |
| 145 | Lauren Kuechler | 2022 | Webb City High School | 20:47.10 | 142 | |
| 146 | Gwynevere Detering | 2021 | Blue Springs High School | 20:48.14 | 143 | |
| 147 | Jayden Ross | 2022 | Lee's Summit West High School | 20:48.50 | 144 | |
| 148 | Mihane Nambara | 2022 | Republic High School | 20:50.30 | -- | |
| 149 | Karley Wheeler | 2022 | Northwest (Cedar Hill) High School | 20:50.68 | 145 | |
| 150 | Alaina Valverde | 2021 | Grain Valley High School | 20:51.04 | 146 | |
| 151 | Jenna Ramadan | 2022 | Timberland High School | 20:51.96 | 147 | |
| 152 | Ashtyn Melton | 2021 | Kickapoo High School | 20:52.20 | 148 | |
| 153 | Gillian Barrett | 2022 | Rock Bridge High School | 20:52.31 | 149 | |
| 154 | Jaida Lyles | 2020 | Lee's Summit West High School | 20:54.50 | -- | |
| 155 | Claudia Nichols | 2020 | Hannibal High School | 20:54.64 | -- | |
| 156 | Grace Hensley | 2021 | Ladue Horton Watkins High School | 20:54.70 | 150 | |
| 157 | Brooke Ware | 2021 | Liberty North High School | 20:56.10 | 151 | |
| 158 | Sydney Reid | 2020 | Eureka High School | 20:56.15 | 152 | |
| 159 | Jordan Kantola | 2022 | West Plains High School | 20:56.40 | 153 | |
| 160 | Nevaeh Soward | 2022 | Ft. Zumwalt West High School | 20:56.63 | 154 | |
| 161 | Brooke Hilton | 2020 | Parkway Central High School | 20:56.85 | 155 | |
| 162 | Maite Mendez | 2022 | Jackson High School | 20:57.42 | 156 | |
| 163 | Elizabeth Steele | 2021 | Jackson High School | 20:58.67 | 157 | |
| 164 | Kassandra Ramos | 2020 | Farmington High School | 20:59.40 | 158 | |
| 165 | Belle Hill | 2021 | Ft. Zumwalt North High School | 20:59.60 | 159 | |
| 166 | Ally Hoppe | 2021 | Francis Howell High School | 21:00.49 | 160 | |
| 167 | Vanessa Waidmann | 2020 | Parkway South High School | 21:00.75 | 161 | |
| 168 | Katie Riffle | 2021 | St. Teresa's Academy | 21:01.50 | 162 | |
| 169 | Abby Fette | 2020 | Park Hill High School | 21:02.00 | 163 | |
| 170 | Jillian Vaughn | 2021 | Kearney High School | 21:02.60 | -- | |
| 171 | Mariana Nelson | 2022 | Carl Junction High School | 21:03.39 | 164 | |
| 172 | Lexie Stetzler | 2021 | Blue Springs High School | 21:03.86 | 165 | |
| 173 | Ally Fisher | 2020 | Liberty North High School | 21:04.70 | 166 | |
| 174 | Averi Overcast | 2022 | Liberty North High School | 21:05.40 | 167 | |
| 175 | Elliett Capron | 2022 | Webb City High School | 21:05.50 | 168 | |
| 176 | Ella Moriarty | 2022 | Farmington High School | 21:05.76 | 169 | |
| 177 | Kyia Wesibrod | 2022 | West Plains High School | 21:06.30 | -- | |
| 178 | Addie Heisserer | 2022 | Jackson High School | 21:06.50 | 170 | |
| 179 | Jada Hubbert | 2020 | Parkview High School | 21:07.14 | -- | |
| 180 | Kelsey Mills | 2022 | Blue Springs South High School | 21:07.50 | 171 | |
| 181 | Molly Nemnich | 2022 | Lafayette (Wildwood) High School | 21:07.91 | 172 | |
| 182 | Sydney Pyrah | 2020 | Willard High School | 21:08.90 | 173 | |
| 183 | Sophie Muskopf | 2021 | Rock Bridge High School | 21:10.05 | 174 | |
| 184 | Katie Reed | 2021 | Lafayette (Wildwood) High School | 21:10.19 | 175 | |
| 185 | Emily Stisser | 2020 | Webster Groves High School | 21:10.60 | 176 | |
| 186 | Ellie Hinson | 2022 | Farmington High School | 21:10.64 | 177 | |
| 187 | Gillian Nicholson | 2021 | Francis Howell Central High School | 21:11.03 | 178 | |
| 188 | Devyn Dancy | 2021 | Lee's Summit West High School | 21:11.20 | -- | |
| 189 | Selena Urquizo | 2022 | Lee's Summit High School | 21:11.94 | 179 | |
| 190 | Kristina Ramos | 2022 | Farmington High School | 21:12.20 | 180 | |
| 191 | Margo Lemley | 2022 | Webster Groves High School | 21:12.40 | 181 | |
| 192 | Madison Pardeck | 2020 | Branson High School | 21:12.55 | -- | |
| 193 | Lily Boushelle | 2021 | Francis Howell High School | 21:13.13 | 182 | |
| 194 | Katryna Kult | 2021 | Lindbergh High School | 21:13.16 | 183 | |
| 195 | Emily Hoese | 2021 | Hillsboro High School | 21:13.27 | 184 | |
| 196 | Marissa Barton | 2022 | Hillsboro High School | 21:13.34 | 185 | |
| 197 | Audrey Tanzola | 2022 | Marquette High School | 21:14.02 | 186 | |
| 198 | Juliane Lopez | 2022 | Lebanon High School | 21:14.30 | 187 | |
| 199 | Rachel Finan | 2022 | Kirkwood High School | 21:14.90 | 188 | |
| 200 | Kyla Huber | 2021 | Grain Valley High School | 21:15.20 | 189 | |
| 201 | Lilly Ogle | 2021 | Grain Valley High School | 21:15.90 | 190 | |
| 202 | Riley Nichols | 2020 | Central (St. Joseph) High School | 21:16.86 | 191 | |
| 203 | Kamden Ricklefs | 2022 | Liberty High School | 21:17.00 | 192 | |
| 204 | Brooke Hargis | 2020 | Webb City High School | 21:17.10 | 193 | |
| 205 | Jezuri Lopez | 2020 | Carthage High School | 21:17.52 | 194 | |
| 206 | Allison Stephens | 2021 | Kickapoo High School | 21:17.92 | 195 | |
| 207 | Ally Fitzgerald | 2022 | Marquette High School | 21:17.97 | 196 | |
| 208 | Hannah Hendershot | 2020 | Staley High School | 21:18.08 | 197 | |
| 209 | Kyia Weisbrod | 2022 | West Plains High School | 21:18.19 | -- | |
| 210 | Kaylee Smith | 2021 | Liberty North High School | 21:18.34 | 198 | |
| 211 | Courtney Anthonies | 2022 | Seckman High School | 21:19.25 | 199 | |
| 212 | Sofie Flarup | 2021 | Belton High School | 21:20.30 | -- | |
| 213 | Maddie Showers | 2020 | Jefferson City High School | 21:20.38 | 200 | |
| 214 | Sydney Waldron | 2022 | St. Teresa's Academy | 21:20.40 | 201 | |
| 215 | Allison Vernon | 2021 | Francis Howell North High School | 21:20.75 | 202 | |
| 216 | Alyson Linhardt | 2022 | Jefferson City High School | 21:21.54 | 203 | |
| 217 | Sara Espindola-Chavarria | 2020 | Parkway Central High School | 21:21.75 | 204 | |
| 218 | Allie Wharton | 2022 | Blue Springs High School | 21:22.30 | 205 | |
| 219 | Mckenna Jacquin | 2021 | Washington High School | 21:22.90 | 206 | |
| 220 | Rose Orrick | 2020 | Notre Dame de Sion High School | 21:24.60 | 207 | |
| 221 | Ginger Schulte | 2022 | Ladue Horton Watkins High School | 21:26.10 | 208 | |
| 222 | Ruby Peters | 2021 | Eureka High School | 21:26.92 | -- | |
| 223 | Michelle Jones | 2022 | Hillsboro High School | 21:27.69 | 209 | |
| 224 | Bridget Reichmuth | 2021 | Rockwood Summit High School | 21:27.80 | 210 | |
| 225 | Athena Finuf | 2020 | Joplin High School | 21:28.70 | 211.5 | |
| 225 | Ryanne Rhude | 2021 | Platte County High School | 21:28.70 | 211.5 | |
| 227 | Lily Chung | 2021 | Francis Howell Central High School | 21:29.31 | 213 | |
| 228 | Abigail Fette | 2020 | Park Hill High School | 21:29.80 | 214 | |
| 229 | Greta Scheidt | 2020 | Rock Bridge High School | 21:30.46 | -- | |
| 230 | Carmen Caudillo | 2020 | Liberty High School | 21:30.60 | 215 | |
| 231 | Allyson Gooden | 2020 | Kirkwood High School | 21:30.69 | 216 | |
| 232 | Molly Morris | 2021 | Liberty (Wentzville) High School | 21:31.19 | 217 | |
| 233 | Maggie Klein | 2022 | Kirkwood High School | 21:32.10 | 218 | |
| 234 | Grace Mceuen | 2021 | Hickman High School | 21:33.10 | 219 | |
| 235 | Olivia Roth | 2020 | Park Hill South High School | 21:33.30 | 220 | |
| 236 | Briana Langrehr | 2021 | Hillsboro High School | 21:33.81 | 221 | |
| 237 | Marisa Garcia | 2021 | Park Hill South High School | 21:34.10 | 222 | |
| 238 | Lindsey Lohr | 2022 | Lafayette (Wildwood) High School | 21:34.70 | 223 | |
| 239 | Corinne Myers | 2020 | Farmington High School | 21:35.82 | 224 | |
| 240 | Nevaeh Page | 2020 | Nixa High School | 21:35.95 | 225 | |
| 241 | Gina Saso | 2022 | Holt High School | 21:36.20 | 226 | |
| 242 | Haley Brunner | 2022 | Platte County High School | 21:36.30 | 227 | |
| 243 | Sophie Broockerd | 2021 | Grain Valley High School | 21:37.10 | 228 | |
| 244 | Grace Gaylord | 2022 | Lee's Summit West High School | 21:37.50 | -- | |
| 245 | Taylor Ficke | 2022 | Grandview High School | 21:37.65 | -- | |
| 246 | Taylor Cummings | 2020 | Liberty High School | 21:38.26 | 229 | |
| 247 | Angel Williams | 2020 | West Plains High School | 21:38.40 | -- | |
| 248 | Kacy Paul | 2020 | Parkway West High School | 21:38.53 | 230 | |
| 249 | Kennedy Loyd | 2022 | Lee's Summit North High School | 21:38.60 | 231 | |
| 250 | Virginia Hardy | 2021 | Parkway West High School | 21:38.62 | 232 | |
| 251 | Zoe Shriner | 2020 | Raymore-Peculiar High School | 21:39.00 | 233 | |
| 252 | Emma Kelley | 2020 | Webster Groves High School | 21:39.20 | 234 | |
| 253 | Audrey Parson | 2020 | Lee's Summit West High School | 21:39.32 | -- | |
| 254 | Kaelyn Lowery | 2022 | Mehlville High School | 21:39.47 | 235 | |
| 255 | Abbi Riek | 2021 | Mehlville High School | 21:39.48 | 236 | |
| 256 | Lillian Halloran | 2022 | Lee's Summit High School | 21:39.91 | 237 | |
| 257 | Olivia O'reilly | 2022 | Liberty High School | 21:40.60 | 238 | |
| 258 | Makenna Seghers | 2021 | Holt High School | 21:41.25 | 239 | |
| 259 | Saneya Winters | 2020 | Jefferson City High School | 21:41.35 | 240 | |
| 260 | Aaliyah Vasquez | 2022 | Republic High School | 21:41.39 | -- | |
| 261 | Abbey Goebel | 2020 | Carl Junction High School | 21:42.17 | 241 | |
| 262 | Macee Hoskins | 2020 | Central (Cape Girardeau) High School | 21:42.24 | 242 | |
| 263 | Brianna Fee | 2021 | Lee's Summit North High School | 21:42.83 | 243 | |
| 264 | Kennedy Moore | 2020 | Parkway Central High School | 21:42.88 | 244 | |
| 265 | Tara Randol | 2022 | Kickapoo High School | 21:43.40 | 245 | |
| 266 | Sophia Hawley | 2022 | Glendale High School | 21:44.24 | 246.5 | |
| 266 | Tessa Scott | 2022 | Waynesville High School | 21:44.24 | 246.5 | |
| 268 | Madison Roland | 2022 | Ozark High School | 21:44.30 | 248 | |
| 269 | Rena Owens | 2020 | Lafayette (Wildwood) High School | 21:44.38 | 249 | |
| 270 | Clare Tyson | 2022 | Holt High School | 21:44.57 | 250 | |
| 271 | Ann-marie Henderson | 2022 | Hickman High School | 21:45.14 | -- | |
| 272 | Kyrsten Elder | 2020 | Grandview High School | 21:45.23 | -- | |
| 273 | Elizabeth Torrey | 2021 | St. Teresa's Academy | 21:45.50 | 251 | |
| 274 | Isobel Dernlan | 2020 | Cor Jesu Academy | 21:45.60 | 252 | |
| 275 | Lillian Nix | 2021 | Washington High School | 21:45.94 | 253 | |
| 276 | Julia Sise | 2022 | Cor Jesu Academy | 21:46.01 | 254 | |
| 277 | Ena Gracanin | 2020 | Mehlville High School | 21:46.07 | 255 | |
| 278 | Shelby Johnson | 2020 | Liberty North High School | 21:46.60 | -- | |
| 279 | Megan Venturella | 2022 | Liberty (Wentzville) High School | 21:46.69 | 256 | |
| 280 | Madelyn Craft | 2021 | Timberland High School | 21:46.91 | 257 | |
| 281 | Olivia Fee | 2021 | Lee's Summit North High School | 21:47.30 | 258 | |
| 282 | Katelyn Vanbelkum | 2022 | Waynesville High School | 21:47.42 | 259 | |
| 283 | Emma Oetting | 2022 | Lee's Summit High School | 21:49.38 | 260 | |
| 284 | Anna Weisbrod | 2020 | Washington High School | 21:50.40 | 261 | |
| 285 | Lillian Griffith | 2022 | Glendale High School | 21:51.36 | 262 | |
| 286 | Kristina Sidorova | 2020 | Hickman High School | 21:51.50 | -- | |
| 286 | Olivia Burton | 2022 | Raymore-Peculiar High School | 21:51.50 | 263 | |
| 288 | Adelaide White | 2021 | St. Joseph's Academy | 21:51.90 | 264 | |
| 289 | Lilah Genel | 2022 | Parkview High School | 21:52.70 | -- | |
| 290 | Lauren Wilson | 2021 | Carthage High School | 21:52.83 | 265 | |
| 291 | Anna Lack | 2022 | St. Teresa's Academy | 21:52.90 | -- | |
| 292 | Shea Worley | 2022 | Park Hill South High School | 21:53.00 | 266 | |
| 293 | Emma Wasielewski | 2021 | Parkway South High School | 21:54.15 | 267 | |
| 294 | Lauryn Mason | 2022 | Fox High School | 21:54.44 | -- | |
| 295 | Hailey Wineland | 2021 | Liberty North High School | 21:54.70 | -- | |
| 296 | Miriam Stitz | 2021 | Webster Groves High School | 21:55.40 | 268 | |
| 297 | Abbi Hennessy | 2021 | St. Teresa's Academy | 21:55.50 | -- | |
| 298 | Claire Pelchman | 2022 | Rockwood Summit High School | 21:55.81 | 269 | |
| 299 | Alexis Walker | 2020 | Rock Bridge High School | 21:55.86 | -- | |
| 300 | Elizabeth Edmunds | 2020 | Ursuline Academy | 21:56.35 | -- | |
| 301 | Marisa Long | 2020 | Hazelwood Central High School | 21:57.19 | -- | |
| 302 | Megan Andrus | 2021 | Rock Bridge High School | 21:57.50 | -- | |
| 303 | Emma Wharton | 2022 | Blue Springs High School | 21:58.50 | 270 | |
| 304 | Elizabeth Dunn | 2022 | Jefferson City High School | 21:58.63 | 271 | |
| 305 | Diya Diwakaran | 2021 | Ladue Horton Watkins High School | 21:58.90 | 272 | |
| 306 | Macy Kopp | 2022 | Nixa High School | 21:58.99 | 273 | |
| 307 | Ally Willis | 2021 | Timberland High School | 21:59.15 | 274 | |
| 308 | Lainey Eve | 2021 | Raymore-Peculiar High School | 21:59.50 | 275 | |
| 309 | Cordelia Hautekeete | 2021 | Pattonville High School | 22:00.09 | 276 | |
| 310 | Lauren Brackney | 2022 | St. Teresa's Academy | 22:00.10 | -- | |
| 311 | Sophie Lowis | 2020 | Parkway Central High School | 22:00.36 | 277 | |
| 312 | Brianna Barton | 2021 | Hillsboro High School | 22:00.41 | 278 | |
| 313 | Carolyn Short | 2022 | Ft. Zumwalt West High School | 22:00.61 | 279 | |
| 314 | Katelyn Deuster | 2022 | Seckman High School | 22:00.66 | 280 | |
| 315 | Erin Ihrig | 2022 | Francis Howell High School | 22:01.02 | 281 | |
| 315 | Kalyn Stetina | 2022 | McDonald County High School | 22:01.02 | -- | |
| 317 | Abby Couch | 2021 | Hillsboro High School | 22:01.07 | 282 | |
| 318 | Amanda Seggerman | 2022 | Liberty High School | 22:01.10 | 283.5 | |
| 318 | Aryn Rehr | 2022 | Parkway Central High School | 22:01.10 | 283.5 | |
| 320 | Danni Lee | 2022 | Parkway Central High School | 22:01.90 | 285 | |
| 321 | Anjali Shah | 2020 | Parkway West High School | 22:02.05 | 286 | |
| 322 | Jenna Jurgensmeyer | 2021 | Platte County High School | 22:02.10 | 287 | |
| 323 | Mary Hruz | 2020 | Cor Jesu Academy | 22:02.54 | 288 | |
| 324 | Ava Kitzi | 2022 | Battle High School | 22:03.30 | -- | |
| 325 | Sophie McCadams | 2021 | Jackson High School | 22:03.41 | 289 | |
| 326 | Haley Wrob | 2022 | Eureka High School | 22:03.46 | -- | |
| 327 | Lydia Schack | 2020 | Ft. Zumwalt South High School | 22:03.69 | 290 | |
| 328 | Tsige O'brien | 2022 | St. Teresa's Academy | 22:05.10 | -- | |
| 329 | Adri Wakeman | 2022 | Ozark High School | 22:05.30 | 291 | |
| 330 | Abigail Vester | 2022 | Francis Howell Central High School | 22:05.67 | 292 | |
| 331 | Lily Ruiz Del Arbol | 2022 | Parkway Central High School | 22:05.92 | 293 | |
| 332 | Sasha Hough | 2022 | Liberty High School | 22:06.20 | 294 | |
| 333 | Olivia Witte | 2022 | Oakville High School | 22:06.60 | 295 | |
| 334 | Makenzie Allen | 2021 | Hillsboro High School | 22:06.81 | -- | |
| 335 | Maddie Jay | 2022 | Lebanon High School | 22:07.00 | 296 | |
| 336 | Elisa Holtzman | 2020 | Rockwood Summit High School | 22:07.17 | 297 | |
| 337 | Adriana Wakeman | 2022 | Ozark High School | 22:08.10 | 298 | |
| 338 | Abigail Moore | 2021 | Lee's Summit West High School | 22:08.80 | -- | |
| 339 | Charlotte Franz | 2021 | Marquette High School | 22:08.91 | -- | |
| 340 | Grace Kirtley | 2020 | Lafayette (Wildwood) High School | 22:08.92 | -- | |
| 340 | Meg Morrow | 2021 | Marquette High School | 22:08.92 | -- | |
| 342 | Julia Patt | 2020 | Kirkwood High School | 22:09.17 | 299 | |
| 343 | Lucy Brady | 2022 | Nerinx Hall High School | 22:09.40 | 300 | |
| 344 | Elena Walker | 2022 | Eureka High School | 22:09.84 | -- | |
| 345 | Justine Edwards | 2021 | Gateway High School | 22:10.00 | -- | |
| 346 | Jillian Bonikowski | 2021 | Park Hill South High School | 22:10.70 | 301 | |
| 347 | Emma Bauman | 2020 | Eureka High School | 22:10.93 | -- | |
| 348 | Sophia Unzicker | 2022 | Lindbergh High School | 22:11.15 | 302 | |
| 349 | Briana Smith | 2021 | Raymore-Peculiar High School | 22:11.80 | 303 | |
| 350 | Ella Cheatham | 2021 | Joplin High School | 22:11.83 | 304 | |
| 351 | Addie White | 2021 | St. Joseph's Academy | 22:12.00 | 305.5 | |
| 351 | Olivia Guffey | 2021 | Liberty (Wentzville) High School | 22:12.00 | 305.5 | |
| 353 | Jordyn Haddrill | 2020 | Parkway South High School | 22:12.58 | 307 | |
| 354 | Amy Woolsey | 2022 | Blue Springs South High School | 22:13.10 | 308 | |
| 355 | Michaela Beedy | 2020 | Holt High School | 22:13.19 | 309 | |
| 356 | Alexandra Grace | 2021 | Liberty North High School | 22:13.20 | -- | |
| 357 | Katie Lawson | 2021 | Hickman High School | 22:13.21 | -- | |
| 358 | Carli Friend | 2022 | Willard High School | 22:13.70 | 310 | |
| 359 | Machezney Whittall | 2021 | Smith-Cotton High School | 22:14.00 | 311 | |
| 360 | Katie Rudolph | 2020 | Kirkwood High School | 22:14.06 | -- | |
| 361 | Lindsay Sprung | 2022 | Washington High School | 22:14.20 | 312 | |
| 362 | Abigail Bernath | 2021 | Parkway South High School | 22:14.22 | 313 | |
| 363 | Julia Boyher | 2022 | Rockwood Summit High School | 22:14.55 | 314 | |
| 364 | Elizabeth Teeter | 2020 | Webster Groves High School | 22:14.57 | 315 | |
| 365 | Breana Sola | 2020 | Liberty North High School | 22:14.60 | -- | |
| 366 | Emma Lewis | 2021 | Warrenton High School | 22:15.01 | -- | |
| 367 | Issy Tallent | 2020 | St. Joseph's Academy | 22:15.48 | 316 | |
| 368 | Miku Nambara | 2020 | Republic High School | 22:16.00 | -- | |
| 369 | Melissa Hanak | 2020 | Mehlville High School | 22:16.27 | 317 | |
| 370 | Rebekah Hardin | 2021 | Blue Springs South High School | 22:16.60 | -- | |
| 371 | Abigail Prince | 2020 | Raymore-Peculiar High School | 22:16.80 | -- | |
| 372 | Kristina Ramos | 2022 | Farmington High School | 22:17.50 | 318 | |
| 373 | Annemarie Rehbein | 2021 | Blue Springs High School | 22:17.90 | 319 | |
| 374 | Katelyn Weatherford | 2020 | Rock Bridge High School | 22:18.06 | -- | |
| 375 | Rylie Othic | 2020 | Warrensburg High School | 22:18.10 | 320 | |
| 376 | Peyton Seger | 2022 | Seckman High School | 22:18.13 | 321 | |
| 377 | Abigail Beinke | 2021 | Nerinx Hall High School | 22:18.60 | -- | |
| 378 | Alexandria Smith | 2022 | Seckman High School | 22:19.11 | 322 | |
| 379 | Kayden Fisher | 2020 | Jackson High School | 22:19.52 | 323 | |
| 380 | Jenna Foelsing | 2020 | Hazelwood West High School | 22:19.79 | -- | |
| 381 | Elliana Miller | 2022 | Francis Howell North High School | 22:20.29 | 324 | |
| 382 | Adrianna Alvard | 2020 | Branson High School | 22:20.92 | -- | |
| 383 | Baylea Jones | 2020 | Kearney High School | 22:21.10 | -- | |
| 384 | Nina Trouve | 2020 | Notre Dame de Sion High School | 22:21.20 | 325 | |
| 385 | Emily Karr | 2022 | Ft. Zumwalt East High School | 22:22.44 | 326 | |
| 386 | Caitlin Figge | 2022 | Raymore-Peculiar High School | 22:23.40 | -- | |
| 387 | Mara Gullett | 2021 | Platte County High School | 22:23.50 | 327 | |
| 388 | Jana Collins | 2022 | Nixa High School | 22:24.24 | 328 | |
| 389 | Jordan Dix | 2022 | Parkway South High School | 22:24.40 | 329 | |
| 390 | Melanie Smith | 2021 | Kearney High School | 22:24.50 | -- | |
| 391 | Kaley Steger | 2020 | Eureka High School | 22:25.55 | -- | |
| 392 | Alexis Hatfield | 2022 | Staley High School | 22:25.90 | 330 | |
| 393 | Erika Wrob | 2022 | Eureka High School | 22:26.68 | -- | |
| 394 | Cora Hoeing | 2022 | Kirkwood High School | 22:27.65 | -- | |
| 395 | Kaylee Major | 2021 | Platte County High School | 22:27.73 | 331 | |
| 396 | Delaney Mcpherson | 2020 | Staley High School | 22:29.10 | 332 | |
| 397 | Meta Stephens | 2020 | Nerinx Hall High School | 22:30.28 | -- | |
| 398 | Callie Manning | 2021 | Warrensburg High School | 22:31.00 | 333 | |
| 399 | Norah Aagesen | 2022 | Platte County High School | 22:31.50 | -- | |
| 400 | Katie Mead | 2021 | Lee's Summit North High School | 22:31.51 | 334 | |
| 401 | Megan Eshelman | 2021 | Marquette High School | 22:32.08 | -- | |
| 402 | Kate Christensen | 2022 | Eureka High School | 22:32.65 | -- | |
| 403 | Mercedez Carpenter | 2021 | Rolla High School | 22:33.27 | 335 | |
| 404 | Salah Mccormack | 2022 | Poplar Bluff High School | 22:34.01 | 336 | |
| 405 | Mary Romine | 2022 | Rolla High School | 22:34.05 | 337 | |
| 406 | Natalie White | 2021 | Francis Howell Central High School | 22:34.32 | 338 | |
| 407 | Mckensi Williams | 2021 | Central (Cape Girardeau) High School | 22:34.33 | 339 | |
| 408 | Laura Rein | 2020 | Parkway West High School | 22:35.04 | -- | |
| 409 | Amanda Ralston | 2022 | Kirkwood High School | 22:35.84 | -- | |
| 410 | Rhyen Standridge | 2021 | Francis Howell Central High School | 22:36.53 | 340 | |
| 411 | Chloe Walters | 2020 | Joplin High School | 22:37.92 | 341 | |
| 412 | Lauren Kennedy | 2022 | Kirkwood High School | 22:38.03 | -- | |
| 413 | Shiloh Sluder | 2021 | Carl Junction High School | 22:38.42 | 342 | |
| 414 | Andrew Bryant | 2021 | Hannibal High School | 22:38.53 | -- | |
| 415 | Mary Gordon | 2021 | Parkway South High School | 22:39.00 | 343 | |
| 416 | Maria Hinkamp | 2022 | Rockwood Summit High School | 22:39.03 | 344 | |
| 417 | Natalie Stewart | 2022 | West Plains High School | 22:40.40 | -- | |
| 418 | Ella Leach | 2021 | Carl Junction High School | 22:40.54 | 345 | |
| 419 | Madison Rosonke | 2020 | Central (St. Joseph) High School | 22:41.00 | 346 | |
| 420 | Jordyn Lange | 2021 | Marquette High School | 22:41.09 | -- | |
| 421 | Emily Piel | 2021 | Ft. Zumwalt North High School | 22:41.78 | 347 | |
| 422 | Lauren Spakowski | 2020 | Liberty (Wentzville) High School | 22:42.25 | -- | |
| 423 | Jenna Capra | 2020 | Carl Junction High School | 22:42.74 | -- | |
| 424 | Abbie Heiser | 2021 | Liberty North High School | 22:42.90 | -- | |
| 425 | Kathryn Wenger | 2021 | Lafayette (Wildwood) High School | 22:43.58 | -- | |
| 426 | Shaza Mergani | 2020 | North Kansas City High School | 22:43.70 | -- | |
| 427 | Natia Turner | 2020 | Farmington High School | 22:44.92 | -- | |
| 428 | Peyton Schwartz | 2022 | Ft. Zumwalt South High School | 22:45.31 | 348 | |
| 429 | Anna Butler | 2021 | Parkway West High School | 22:45.73 | -- | |
| 430 | Haleigh Mccamy | 2020 | Central (St. Joseph) High School | 22:45.91 | 349 | |
| 431 | Thamina Mahmoud | 2020 | Parkway South High School | 22:45.95 | -- | |
| 432 | Chloe Schwab | 2022 | Francis Howell Central High School | 22:46.05 | 350 | |
| 433 | Hannah Gumper | 2021 | Ft. Zumwalt West High School | 22:46.09 | 351 | |
| 434 | Cecilia Dimercurio | 2021 | Ft. Zumwalt West High School | 22:46.49 | 352 | |
| 435 | Sophia Bain | 2022 | Parkway Central High School | 22:46.74 | -- | |
| 436 | Lauren Bode | 2022 | Parkway South High School | 22:47.09 | -- | |
| 437 | Alex Cole | 2021 | Staley High School | 22:47.20 | 353 | |
| 438 | Destiny Colston | 2020 | Neosho High School | 22:47.61 | -- | |
| 439 | Fiona Flynn | 2022 | Liberty (Wentzville) High School | 22:47.90 | -- | |
| 440 | Carrington Stilabower | 2022 | Jefferson City High School | 22:49.11 | 354 | |
| 441 | Jaeni Lee | 2021 | Marquette High School | 22:49.29 | -- | |
| 442 | Annabelle Valenti | 2020 | St. Teresa's Academy | 22:49.70 | -- | |
| 443 | Claudia Benge | 2020 | St. Teresa's Academy | 22:50.20 | -- | |
| 444 | Annalynn Earley | 2021 | Grain Valley High School | 22:50.60 | 355 | |
| 445 | Jasmine Cassidy | 2021 | Waynesville High School | 22:51.14 | 356 | |
| 446 | Rilee Leckie | 2020 | Jackson High School | 22:51.53 | 357 | |
| 447 | Margaret Murphy | 2020 | Kirkwood High School | 22:51.96 | -- | |
| 448 | Alanna Phoenix | 2021 | Central (St. Joseph) High School | 22:52.30 | -- | |
| 449 | Silvia Stambaugh | 2020 | Hickman High School | 22:54.89 | -- | |
| 450 | Mikayla Aubuchon | 2020 | Francis Howell Central High School | 22:55.23 | 358 | |
| 451 | Emily Harris | 2022 | Nixa High School | 22:55.43 | 359 | |
| 452 | Adara Ezekwe | 2021 | Staley High School | 22:55.50 | 360 | |
| 453 | Taylor Goodson | 2020 | Jackson High School | 22:55.67 | -- | |
| 454 | Kelsey Brown | 2020 | Kickapoo High School | 22:55.80 | 361 | |
| 455 | Addie Scanlon | 2022 | Marquette High School | 22:56.56 | -- | |
| 456 | Kate Campbell | 2021 | Rolla High School | 22:57.11 | 362 | |
| 457 | Elisabeth Ragan | 2020 | Webster Groves High School | 22:57.16 | 363 | |
| 458 | Sophia Day | 2020 | Parkway Central High School | 22:57.30 | -- | |
| 459 | Grace Andrews | 2020 | Park Hill South High School | 22:58.50 | 364 | |
| 460 | Alycia Alvarado | 2020 | Parkview High School | 22:58.70 | -- | |
| 460 | Mackenna Westerfield | 2020 | Parkway Central High School | 22:58.70 | -- | |
| 462 | Maddie Weiford | 2022 | St. Teresa's Academy | 22:58.80 | -- | |
| 463 | Rylee Mclaughlin | 2020 | Warrensburg High School | 22:59.26 | 365 | |
| 464 | Anna Bacon | 2020 | Ft. Zumwalt North High School | 22:59.30 | 366 | |
| 465 | Elizabeth Harpool | 2022 | Kickapoo High School | 22:59.40 | 367 | |
| 466 | Mina Yoon | 2020 | Rock Bridge High School | 22:59.50 | -- | |
| 467 | Camille Humphrey | 2021 | Ft. Zumwalt South High School | 22:59.88 | 368 | |
| 468 | Avery Bloss | 2021 | Park Hill High School | 22:59.90 | 369 | |
| 469 | Sophia Ortiz | 2021 | Cor Jesu Academy | 22:59.95 | 370 | |
| 470 | Ashleigh Martin | 2021 | Francis Howell High School | 23:00.13 | -- | |
| 471 | Ellen Plume | 2022 | Jefferson City High School | 23:00.44 | 371 | |
| 472 | Kelly Mclaughlin | 2022 | Francis Howell High School | 23:01.06 | -- | |
| 473 | Lindsey Burns | 2020 | Blue Springs South High School | 23:01.40 | -- | |
| 474 | Trang Nguyen | 2020 | St. Teresa's Academy | 23:01.60 | -- | |
| 475 | Amanda Unverferth | 2021 | Hazelwood West High School | 23:01.66 | -- | |
| 476 | Chloe Sheckells | 2022 | Staley High School | 23:01.90 | 372 | |
| 477 | Maya Loy | 2021 | Parkway West High School | 23:01.97 | -- | |
| 478 | Katherine Adams | 2022 | Lindbergh High School | 23:02.59 | 373 | |
| 479 | McKenna Mozingo | 2022 | Rock Bridge High School | 23:02.65 | -- | |
| 480 | Emma Robinson | 2022 | Blue Springs South High School | 23:02.70 | -- | |
| 481 | Francis Swayne | 2020 | Park Hill High School | 23:02.80 | 374 | |
| 482 | Brooke Chase | 2021 | Liberty North High School | 23:03.00 | -- | |
| 483 | Emily Cole | 2022 | Rockwood Summit High School | 23:03.45 | 375 | |
| 484 | Maggie Ou | 2021 | Smith-Cotton High School | 23:04.19 | 376 | |
| 485 | Stacia Marshall | 2021 | Troy Buchanan High School | 23:04.33 | 377 | |
| 486 | Chloe Bodway | 2021 | Ft. Zumwalt West High School | 23:05.69 | 378 | |
| 487 | Raina Baker | 2022 | Lee's Summit North High School | 23:05.70 | 379 | |
| 488 | Grace Sidberry | 2020 | Lindbergh High School | 23:05.78 | 380 | |
| 489 | Claire Vanessendelft | 2022 | Parkway South High School | 23:06.10 | -- | |
| 490 | Abby Potter | 2020 | Rockwood Summit High School | 23:06.33 | 381 | |
| 491 | Josie Bielecki | 2022 | Eureka High School | 23:06.73 | -- | |
| 492 | Emery Oldenburger | 2022 | Waynesville High School | 23:07.24 | 382 | |
| 493 | Isabel Dibernardo | 2022 | Park Hill South High School | 23:07.30 | -- | |
| 494 | Lauren Vancardo | 2022 | Lindbergh High School | 23:07.46 | 383 | |
| 495 | Rebekah Nunn | 2020 | Raytown South High School | 23:07.50 | -- | |
| 496 | Hannah Reeb | 2020 | Holt High School | 23:07.56 | 384 | |
| 497 | Sarah Bacon | 2021 | Ft. Zumwalt North High School | 23:07.80 | 385 | |
| 498 | Anna Achille | 2021 | Liberty High School | 23:08.00 | 386 | |
| 499 | Abby Pesselato | 2022 | Mehlville High School | 23:08.26 | 387 | |
| 500 | Ella Kelly | 2022 | Webster Groves High School | 23:09.25 | -- | |
| 501 | Jackie Wilson | 2020 | Blue Springs South High School | 23:09.40 | -- | |
| 502 | Bella Wiebelt-smith | 2021 | Central (St. Joseph) High School | 23:09.60 | -- | |
| 503 | Emma Talken | 2020 | Nerinx Hall High School | 23:10.30 | -- | |
| 504 | Kate Grana | 2022 | Ft. Zumwalt West High School | 23:10.68 | 388 | |
| 505 | Dillan Elmquist | 2021 | Notre Dame de Sion High School | 23:10.70 | 389 | |
| 506 | Emma Lott | 2022 | Ft. Zumwalt South High School | 23:11.26 | 390 | |
| 507 | Katie Sandgren | 2022 | West Plains High School | 23:12.60 | -- | |
| 508 | Kailey Larson | 2020 | Grain Valley High School | 23:13.35 | -- | |
| 509 | Samantha Whitaker | 2021 | Blue Springs High School | 23:13.58 | -- | |
| 510 | Alina Dunder | 2020 | Parkway West High School | 23:14.77 | -- | |
| 511 | Isabela Torres | 2021 | Raymore-Peculiar High School | 23:16.40 | -- | |
| 512 | Morgan Hurt | 2020 | Rock Bridge High School | 23:16.88 | -- | |
| 513 | Brooklyn Winters | 2021 | McDonald County High School | 23:16.95 | -- | |
| 514 | Raya Bandelow | 2022 | Blue Springs South High School | 23:17.10 | -- | |
| 515 | Madeline Ryan | 2021 | Parkway North High School | 23:17.34 | -- | |
| 516 | Marie Cosmano | 2021 | Francis Howell Central High School | 23:17.43 | -- | |
| 517 | Shua Jeon | 2022 | Lindbergh High School | 23:17.50 | -- | |
| 518 | Avery Nix | 2021 | Platte County High School | 23:17.70 | -- | |
| 519 | Emma Morrow | 2021 | Marquette High School | 23:18.24 | -- | |
| 520 | Hailey Bradley | 2022 | Lee's Summit West High School | 23:18.70 | -- | |
| 521 | Brooke Bell | 2022 | Seckman High School | 23:18.84 | 391 | |
| 522 | Gracie Hecht | 2021 | Park Hill South High School | 23:19.80 | -- | |
| 523 | Jasmin Rosales | 2021 | Pattonville High School | 23:19.82 | 392 | |
| 524 | Reagan Leckie | 2020 | Jackson High School | 23:20.05 | -- | |
| 525 | Hadley Mcbride | 2021 | Carthage High School | 23:21.00 | 393 | |
| 526 | Ashlyn Hamblin | 2022 | Raymore-Peculiar High School | 23:21.20 | -- | |
| 527 | Mercedes Carter | 2020 | Francis Howell Central High School | 23:21.24 | -- | |
| 528 | Abigail Riggs | 2020 | Liberty High School | 23:21.30 | -- | |
| 529 | Meredith Jones | 2022 | Hickman High School | 23:21.70 | -- | |
| 530 | Lena Baker | 2022 | Lee's Summit North High School | 23:22.00 | -- | |
| 531 | Zara Tola | 2021 | Marquette High School | 23:22.05 | -- | |
| 532 | Margaret Lipton | 2022 | Hickman High School | 23:22.27 | -- | |
| 533 | Jenna Lowery | 2020 | Mehlville High School | 23:22.45 | -- | |
| 534 | Kalista Roades | 2022 | Pattonville High School | 23:22.90 | 394 | |
| 535 | Ella Roesch | 2022 | Parkway West High School | 23:22.94 | -- | |
| 536 | Addy Mick | 2020 | McDonald County High School | 23:23.90 | -- | |
| 537 | Aaliyah Aramjoohull | 2021 | Staley High School | 23:24.50 | -- | |
| 538 | Ella Holt | 2022 | Webb City High School | 23:24.70 | -- | |
| 539 | Caroline Hite | 2022 | Cor Jesu Academy | 23:25.62 | 395 | |
| 540 | Makenna Dunn | 2021 | Parkway West High School | 23:25.80 | -- | |
| 541 | Sydney Hieken | 2020 | Parkway South High School | 23:26.18 | -- | |
| 542 | Sarah Mueller | 2021 | Parkway North High School | 23:26.20 | -- | |
| 543 | Esther Ingram | 2021 | Francis Howell Central High School | 23:26.29 | -- | |
| 544 | Danielle Foutz | 2021 | Central (Cape Girardeau) High School | 23:26.69 | 396 | |
| 545 | Bridget Schumm | 2020 | Notre Dame de Sion High School | 23:26.80 | 397 | |
| 546 | Claudia Labruyere | 2020 | Timberland High School | 23:26.99 | -- | |
| 547 | Mikayla Knipp | 2020 | North Kansas City High School | 23:28.73 | -- | |
| 548 | Alyssa Murphy | 2021 | Nixa High School | 23:28.92 | 398 | |
| 549 | Ava Lee | 2020 | St. Teresa's Academy | 23:29.90 | -- | |
| 550 | Alise Simon | 2022 | Francis Howell North High School | 23:30.01 | 399 | |
| 551 | Mia Phutrakul | 2021 | Warrensburg High School | 23:30.60 | 400 | |
| 552 | Ellie Schloegel | 2020 | St. Teresa's Academy | 23:30.80 | -- | |
| 553 | Ava Faust | 2021 | St. Joseph's Academy | 23:31.49 | 401 | |
| 554 | Caitlin Marshall | 2020 | Liberty North High School | 23:31.60 | -- | |
| 555 | Callie Chambers-wall | 2020 | Parkway West High School | 23:31.83 | -- | |
| 556 | Paige Bradley | 2020 | Poplar Bluff High School | 23:32.50 | 402 | |
| 557 | Jocelyn King | 2021 | Central (Cape Girardeau) High School | 23:34.70 | 403 | |
| 558 | Chasity Pendleton | 2021 | Jefferson City High School | 23:34.82 | -- | |
| 559 | Brailynn Harlan | 2020 | Fort Osage High School | 23:35.35 | -- | |
| 560 | Chambre Garcia | 2021 | Waynesville High School | 23:35.45 | 404 | |
| 561 | Amanda Daniel | 2020 | Fort Osage High School | 23:36.24 | -- | |
| 562 | Margie Lodes | 2020 | St. Joseph's Academy | 23:36.50 | 405 | |
| 563 | Angelina O'brien | 2021 | Mehlville High School | 23:36.63 | -- | |
| 564 | Kailey Wallace | 2020 | Park Hill High School | 23:37.20 | -- | |
| 565 | Abbey Wallace | 2020 | Lee's Summit High School | 23:37.40 | 406 | |
| 565 | Kendall Barnett | 2022 | Nerinx Hall High School | 23:37.40 | -- | |
| 567 | Isabelle Tallent | 2020 | St. Joseph's Academy | 23:37.60 | 407 | |
| 568 | Jacqueline Wilson | 2020 | Blue Springs South High School | 23:37.80 | -- | |
| 569 | Alita Sunil | 2020 | Marquette High School | 23:38.13 | -- | |
| 570 | Emma Tatlow | 2022 | Battle High School | 23:38.22 | -- | |
| 571 | Raigan Keltner | 2021 | William Chrisman High School | 23:38.81 | -- | |
| 572 | Abigail Clothier | 2022 | Lee's Summit West High School | 23:38.90 | -- | |
| 573 | Grace Wood | 2020 | Carthage High School | 23:39.45 | 408 | |
| 574 | Avery Johnson | 2022 | Washington High School | 23:39.87 | 409 | |
| 575 | Audrey Zander | 2022 | Francis Howell High School | 23:40.03 | -- | |
| 576 | Winne Arnold | 2021 | Marquette High School | 23:40.66 | -- | |
| 577 | Isabella Hogrebe | 2022 | Cor Jesu Academy | 23:40.90 | -- | |
| 578 | Cali Siegmeier | 2022 | Lee's Summit North High School | 23:41.10 | -- | |
| 579 | Alexis Mcateer | 2021 | Northwest (Cedar Hill) High School | 23:41.14 | 410 | |
| 580 | Caroline Arensburg | 2020 | Park Hill High School | 23:41.30 | -- | |
| 581 | Olivia Dull | 2022 | Lindbergh High School | 23:41.45 | -- | |
| 582 | Cardyss Williams | 2021 | Hazelwood Central High School | 23:41.74 | -- | |
| 583 | Alexia Gonzalez | 2021 | Hannibal High School | 23:42.86 | -- | |
| 584 | Madeline Holt | 2021 | Staley High School | 23:43.80 | -- | |
| 585 | Morgan Shea | 2020 | Parkway Central High School | 23:44.40 | -- | |
| 586 | Tyra Rogers | 2020 | Lebanon High School | 23:44.92 | 411 | |
| 587 | Miriam Palomino | 2022 | Parkway Central High School | 23:46.06 | -- | |
| 588 | Kourtney Honey | 2020 | Glendale High School | 23:46.10 | 412 | |
| 589 | Madison Powers | 2021 | Rockwood Summit High School | 23:46.16 | -- | |
| 590 | Liz Sherwin | 2022 | Rock Bridge High School | 23:46.45 | -- | |
| 591 | Kinsey Morris | 2020 | Northwest (Cedar Hill) High School | 23:46.60 | 413 | |
| 591 | Lou Bellinghausen | 2021 | Blue Springs High School | 23:46.60 | -- | |
| 593 | Hailey Mitchell | 2020 | Joplin High School | 23:46.74 | 414 | |
| 594 | Meghan Bonham | 2020 | Francis Howell High School | 23:47.73 | -- | |
| 595 | Kendall Coners | 2022 | Ladue Horton Watkins High School | 23:47.80 | 415 | |
| 596 | Taylor Lawver | 2021 | Platte County High School | 23:49.40 | -- | |
| 597 | Georgette Seeger | 2021 | Ladue Horton Watkins High School | 23:49.60 | 416 | |
| 598 | Julia Castellano | 2022 | St. Joseph's Academy | 23:50.22 | 417 | |
| 599 | Sydney Dennis | 2021 | Eureka High School | 23:50.90 | -- | |
| 600 | Jenna Michalski | 2020 | Webster Groves High School | 23:50.92 | -- | |
| 601 | Evelyn Boughan | 2020 | William Chrisman High School | 23:51.09 | -- | |
| 602 | Faith Griggs | 2022 | Poplar Bluff High School | 23:51.18 | 418 | |
| 603 | Anaya Brady | 2022 | Blue Springs South High School | 23:51.20 | -- | |
| 604 | Isabella Seigel | 2021 | Parkway West High School | 23:52.12 | -- | |
| 605 | Makayla Wall | 2021 | Timberland High School | 23:52.23 | -- | |
| 606 | Sarah Gardner | 2020 | Park Hill South High School | 23:52.30 | -- | |
| 607 | Lauren Moyer | 2021 | Blue Springs High School | 23:52.55 | -- | |
| 608 | Jenny Lee | 2021 | Marquette High School | 23:52.60 | -- | |
| 609 | Ana Madrid | 2020 | Kansas City (East) High School | 23:53.00 | -- | |
| 609 | Bailey Reich | 2021 | Grain Valley High School | 23:53.00 | -- | |
| 611 | Maria Alfaro | 2022 | Camdenton High School | 23:53.36 | -- | |
| 612 | Macie Fisher | 2021 | Lebanon High School | 23:53.39 | 419 | |
| 613 | Nayda Gaspariano | 2022 | Troy Buchanan High School | 23:53.50 | 420 | |
| 614 | Corinne Fox | 2022 | Lindbergh High School | 23:53.97 | -- | |
| 614 | Madison Keisker | 2020 | Fox High School | 23:53.97 | -- | |
| 616 | Elizabeth Azevedo | 2020 | Warrensburg High School | 23:54.00 | 421 | |
| 616 | Selyna Tibbetts | 2021 | Park Hill South High School | 23:54.00 | -- | |
| 618 | Mya Drayton | 2020 | Rock Bridge High School | 23:54.05 | -- | |
| 619 | Selina Newland | 2022 | Parkway South High School | 23:54.22 | -- | |
| 620 | Morgan Wood | 2022 | Blue Springs High School | 23:54.52 | -- | |
| 621 | Mercy Melly | 2020 | Kansas City (East) High School | 23:54.69 | -- | |
| 622 | Kyleigh Gibbs | 2020 | Hannibal High School | 23:54.83 | -- | |
| 623 | Jayden Hayes-wokurka | 2020 | Hillsboro High School | 23:55.42 | -- | |
| 624 | Jazmine Brevik | 2020 | Ritenour High School | 23:55.68 | -- | |
| 625 | Natalie Walsh | 2021 | Francis Howell Central High School | 23:56.27 | -- | |
| 626 | Haley Williams | 2020 | Timberland High School | 23:56.79 | -- | |
| 627 | Delaney Jones | 2022 | Oak Park High School | 23:56.90 | -- | |
| 628 | Jaime Crites | 2020 | Rock Bridge High School | 23:57.15 | -- | |
| 629 | Fatima Flores | 2020 | Grandview High School | 23:57.20 | -- | |
| 630 | Deidra Sinkey | 2021 | Ft. Zumwalt West High School | 23:59.47 | -- | |
| 631 | Emma Wetzel | 2020 | Nerinx Hall High School | 23:59.87 | -- | |
| 632 | Mackenzie Mccurdy | 2021 | Waynesville High School | 24:01.52 | 422 | |
| 633 | Abigail Higley | 2022 | Timberland High School | 24:02.05 | -- | |
| 634 | Sarah Allen | 2022 | Willard High School | 24:02.09 | 423 | |
| 635 | Amanda Metzler | 2021 | Cor Jesu Academy | 24:02.20 | -- | |
| 636 | Abigail Feldt | 2021 | Central (Springfield) High School | 24:02.52 | -- | |
| 637 | Kirsten Spilde | 2022 | Glendale High School | 24:02.60 | 424 | |
| 638 | Kayla Thomas | 2020 | Park Hill High School | 24:03.00 | -- | |
| 639 | Kelly Zipfel | 2020 | Ursuline Academy | 24:03.10 | -- | |
| 640 | Maya Vazis | 2022 | Eureka High School | 24:03.18 | -- | |
| 641 | Allison Wilson | 2022 | Ft. Zumwalt South High School | 24:03.81 | 425 | |
| 642 | Olivia Elzey | 2022 | Ft. Zumwalt North High School | 24:04.09 | 426 | |
| 643 | Sophia Devlin | 2020 | St. Joseph's Academy | 24:04.24 | -- | |
| 644 | Lillian Puntney | 2021 | Platte County High School | 24:04.80 | -- | |
| 645 | Anastasia Buechter | 2021 | Washington High School | 24:04.98 | -- | |
| 646 | Bryndal Miller | 2021 | Lafayette (Wildwood) High School | 24:05.33 | -- | |
| 647 | Chloe Cross | 2022 | Lebanon High School | 24:05.64 | 427 | |
| 648 | Meredith Blucker | 2020 | Lindbergh High School | 24:05.77 | -- | |
| 649 | Hannah Meadows | 2021 | Nixa High School | 24:05.80 | 428 | |
| 650 | Jordyn Moore | 2022 | Ft. Zumwalt South High School | 24:05.94 | -- | |
| 651 | Sydne Newman | 2022 | Central (Cape Girardeau) High School | 24:06.02 | 429 | |
| 652 | Katherine Wells | 2021 | Ozark High School | 24:06.10 | 430 | |
| 653 | Avery Blaine | 2022 | Blue Springs South High School | 24:06.70 | -- | |
| 654 | Faith Cordsiemon | 2022 | Francis Howell Central High School | 24:06.75 | -- | |
| 655 | Olivia Starke | 2020 | Lee's Summit West High School | 24:08.40 | -- | |
| 656 | Hailey Gerard | 2022 | Ft. Zumwalt South High School | 24:08.63 | -- | |
| 657 | Kayla Nevils | 2022 | Gateway High School | 24:09.00 | -- | |
| 658 | Payton Egland | 2021 | Ft. Zumwalt South High School | 24:09.03 | -- | |
| 659 | Katka Trachtova | 2020 | Webster Groves High School | 24:09.20 | -- | |
| 660 | Madison Cline | 2021 | West Plains High School | 24:10.20 | -- | |
| 661 | Madison Fox | 2021 | Eureka High School | 24:10.55 | -- | |
| 662 | Nora Welch | 2022 | Webster Groves High School | 24:10.57 | -- | |
| 663 | Derrienne Gaar | 2020 | Park Hill High School | 24:10.60 | -- | |
| 664 | Joy Missey | 2021 | Rockwood Summit High School | 24:11.11 | -- | |
| 665 | Brittany Mcclure | 2021 | Winnetonka High School | 24:11.50 | -- | |
| 666 | Melissa Fernando | 2021 | Smith-Cotton High School | 24:12.77 | 431 | |
| 667 | Dakota Randle | 2020 | Hazelwood Central High School | 24:13.18 | -- | |
| 668 | Alexandra Macias | 2022 | Grandview High School | 24:13.60 | -- | |
| 669 | Riley Nelson | 2021 | West Plains High School | 24:14.42 | -- | |
| 670 | Jade O'neill | 2022 | Liberty (Wentzville) High School | 24:14.77 | -- | |
| 671 | Abby Farmer | 2021 | St. Teresa's Academy | 24:14.90 | -- | |
| 672 | Gabby Valverde | 2022 | Grain Valley High School | 24:16.10 | -- | |
| 673 | Danielle Meier | 2022 | Hickman High School | 24:16.30 | -- | |
| 674 | Christina Berkstresser | 2021 | Lee's Summit West High School | 24:16.60 | -- | |
| 675 | Isabel Coleman | 2021 | St. Teresa's Academy | 24:16.80 | -- | |
| 676 | Grace Eimer | 2022 | Northwest (Cedar Hill) High School | 24:16.98 | 432 | |
| 677 | Sidney Gilliland | 2021 | Lee's Summit North High School | 24:17.20 | -- | |
| 678 | Kiley Arling | 2022 | Lindbergh High School | 24:17.48 | -- | |
| 679 | Samantha Benhumea | 2020 | Carthage High School | 24:17.49 | 433 | |
| 680 | Emily Nelson | 2022 | Joplin High School | 24:17.58 | 434 | |
| 681 | Hailey Mackey | 2020 | Ozark High School | 24:18.33 | 435 | |
| 682 | Aleasia Ryan | 2020 | Farmington High School | 24:18.36 | -- | |
| 683 | Ashley Turpin | 2020 | Ft. Zumwalt East High School | 24:18.42 | 436 | |
| 684 | Anna Albritton | 2021 | St. Teresa's Academy | 24:18.70 | -- | |
| 685 | Kylie Winbigler | 2020 | Liberty North High School | 24:18.90 | -- | |
| 686 | Gemma Broto Blanch | 2021 | William Chrisman High School | 24:20.05 | -- | |
| 687 | Marneece Howard | 2020 | Hazelwood Central High School | 24:20.71 | -- | |
| 688 | Evelyn Unruh | 2022 | Blue Springs South High School | 24:20.80 | -- | |
| 689 | Ryann Buster | 2022 | Park Hill High School | 24:21.00 | -- | |
| 690 | Olivia Walters | 2022 | Marquette High School | 24:21.02 | -- | |
| 691 | Marshaun Bostic | 2021 | Gateway High School | 24:21.40 | -- | |
| 692 | Katie Wall | 2021 | Timberland High School | 24:21.93 | -- | |
| 693 | Ava Smith | 2021 | Poplar Bluff High School | 24:22.01 | 437 | |
| 694 | Meg Murphy | 2020 | Kirkwood High School | 24:22.20 | -- | |
| 695 | Sydney Reszinski | 2021 | Marquette High School | 24:22.30 | -- | |
| 696 | Anastacia Gibbs | 2021 | Lee's Summit West High School | 24:23.10 | -- | |
| 697 | Sarah Goldstein | 2022 | Holt High School | 24:23.84 | 438 | |
| 698 | Ainslea Macdonald | 2021 | Blue Springs South High School | 24:24.00 | -- | |
| 699 | Natalia Gonzales | 2022 | Ft. Zumwalt East High School | 24:25.23 | 439 | |
| 700 | Heather Miller | 2021 | Blue Springs South High School | 24:26.30 | -- | |
| 701 | Paige Folkner | 2020 | McCluer North High School | 24:26.42 | 440 | |
| 702 | Hailey Williams | 2020 | Truman High School | 24:26.56 | 441 | |
| 703 | Hadeel Nasser | 2021 | Ft. Zumwalt West High School | 24:26.81 | -- | |
| 704 | Astacia Garcia | 2021 | Waynesville High School | 24:27.27 | -- | |
| 705 | Abigail Hachmeister | 2021 | Pattonville High School | 24:27.69 | 442 | |
| 706 | Emily Schatz | 2021 | Park Hill High School | 24:27.80 | -- | |
| 707 | Jillian Thomlison | 2020 | Northwest (Cedar Hill) High School | 24:27.91 | -- | |
| 708 | Gracelynn Hecht | 2021 | Park Hill South High School | 24:28.00 | -- | |
| 709 | Emma Miller | 2021 | Eureka High School | 24:28.28 | -- | |
| 710 | Christianne Davidson | 2022 | Hillsboro High School | 24:29.21 | -- | |
| 711 | Elise Johnson | 2021 | St. Teresa's Academy | 24:30.70 | -- | |
| 711 | Nicole Marquez | 2022 | Carthage High School | 24:30.70 | 443 | |
| 713 | Bri Fee | 2021 | Lee's Summit North High School | 24:31.30 | -- | |
| 714 | Anna Demarco | 2021 | Kirkwood High School | 24:31.56 | -- | |
| 715 | Raebecca White | 2021 | Lebanon High School | 24:31.70 | 444 | |
| 716 | Maya Echols-Albrecht | 2021 | Webster Groves High School | 24:31.85 | -- | |
| 717 | Piper Brown | 2022 | Parkway West High School | 24:31.90 | -- | |
| 718 | Nadia Bazile | 2021 | Marquette High School | 24:32.54 | -- | |
| 719 | Lauren Munns | 2021 | Rock Bridge High School | 24:32.64 | -- | |
| 720 | Allison Meyer | 2021 | Washington High School | 24:32.67 | -- | |
| 721 | Audrey Nix | 2021 | West Plains High School | 24:33.00 | -- | |
| 722 | Katelyn Curran | 2020 | Marquette High School | 24:33.94 | -- | |
| 723 | Molly Prescott | 2020 | Hazelwood West High School | 24:33.95 | -- | |
| 724 | Lucy Yue | 2021 | Ladue Horton Watkins High School | 24:34.20 | -- | |
| 724 | Matilda Robertson | 2022 | St. Teresa's Academy | 24:34.20 | -- | |
| 726 | Megan Davis | 2021 | Central (Cape Girardeau) High School | 24:35.21 | 445 | |
| 727 | Abbey Schlittler | 2020 | Ft. Zumwalt North High School | 24:36.10 | 446 | |
| 728 | Mackenzie Scully | 2022 | Kirkwood High School | 24:36.32 | -- | |
| 729 | Ella Seigel | 2021 | Parkway West High School | 24:36.60 | -- | |
| 730 | Abigail Dyer | 2021 | Jefferson City High School | 24:37.80 | -- | |
| 731 | Natalie Haynes | 2020 | Ft. Zumwalt South High School | 24:37.83 | -- | |
| 732 | Neva Blackford | 2022 | Webster Groves High School | 24:37.90 | -- | |
| 733 | Stella Chang | 2020 | Lafayette (Wildwood) High School | 24:37.93 | -- | |
| 734 | Madeline Stout | 2020 | Ladue Horton Watkins High School | 24:38.20 | -- | |
| 735 | Rebecca Evans | 2021 | Central (St. Joseph) High School | 24:38.30 | -- | |
| 736 | Kassandra Gonzalez | 2022 | Raytown High School | 24:38.32 | -- | |
| 737 | Zaphanie White | 2021 | Lebanon High School | 24:38.89 | -- | |
| 738 | Abby Delong | 2021 | Notre Dame de Sion High School | 24:38.90 | 447 | |
| 739 | Chloe Brower | 2020 | Nixa High School | 24:39.15 | -- | |
| 740 | Isabelle Grothoff | 2022 | Liberty (Wentzville) High School | 24:39.27 | -- | |
| 741 | Katelyn Junghans | 2022 | Francis Howell High School | 24:39.41 | -- | |
| 742 | Maya Birchler | 2020 | Park Hill South High School | 24:40.20 | -- | |
| 743 | Meghan O'donnell | 2022 | Ft. Zumwalt East High School | 24:40.70 | 448 | |
| 744 | Angela Burns | 2020 | Truman High School | 24:40.90 | 449 | |
| 745 | Emily Kjar | 2020 | Parkway South High School | 24:40.95 | -- | |
| 746 | Isabella Silva | 2021 | Kirkwood High School | 24:41.11 | -- | |
| 747 | Alexis Landolt | 2020 | Ft. Zumwalt West High School | 24:41.15 | -- | |
| 748 | Claire Durr | 2021 | Oakville High School | 24:41.45 | 450 | |
| 749 | Ashley Wheeler | 2021 | Park Hill South High School | 24:42.50 | -- | |
| 749 | Elaina Huertas | 2020 | Webster Groves High School | 24:42.50 | -- | |
| 751 | Ava Wolf | 2022 | Parkway West High School | 24:42.61 | -- | |
| 751 | Emilia Huelskoetter | 2021 | Lindbergh High School | 24:42.61 | -- | |
| 753 | Jamie Preston | 2021 | Fort Osage High School | 24:42.70 | -- | |
| 754 | Tara Adams | 2022 | Lebanon High School | 24:42.99 | -- | |
| 755 | Victoria Meledge-ade | 2021 | Blue Springs South High School | 24:43.00 | -- | |
| 756 | Marriyah House | 2022 | Liberty North High School | 24:43.70 | -- | |
| 757 | Kennedie Rutledge | 2020 | Holt High School | 24:44.62 | -- | |
| 758 | Makayla Mead | 2021 | Park Hill South High School | 24:46.60 | -- | |
| 758 | Rike Sonntag | 2020 | Glendale High School | 24:46.60 | 451 | |
| 760 | Madeline Hefele | 2020 | Rockwood Summit High School | 24:47.19 | -- | |
| 761 | Emma Garcia | 2021 | Lindbergh High School | 24:47.56 | -- | |
| 762 | Morgan Vandeven | 2021 | Troy Buchanan High School | 24:47.95 | 452 | |
| 763 | Emma Lengyel | 2021 | Cor Jesu Academy | 24:49.34 | -- | |
| 764 | Sophia Essig | 2021 | Rockwood Summit High School | 24:49.50 | -- | |
| 765 | Lacy Slezak | 2020 | Ft. Zumwalt West High School | 24:50.26 | -- | |
| 766 | Zoey Decapria | 2021 | Blue Springs High School | 24:50.40 | -- | |
| 767 | Grace Steensma | 2020 | Parkway North High School | 24:50.90 | -- | |
| 768 | Macy Karg | 2022 | Northwest (Cedar Hill) High School | 24:51.13 | -- | |
| 769 | Lexi Hennes | 2020 | Nerinx Hall High School | 24:51.23 | -- | |
| 770 | Tara Lowe | 2022 | Nerinx Hall High School | 24:51.32 | -- | |
| 771 | Keeley Rosner | 2022 | Eureka High School | 24:51.60 | -- | |
| 772 | Lillian LaVenture | 2022 | Jackson High School | 24:52.69 | -- | |
| 773 | Ariana Rios | 2020 | Willard High School | 24:53.32 | 453 | |
| 774 | Emily Willis | 2021 | Camdenton High School | 24:53.33 | -- | |
| 775 | Ashton Henslee | 2020 | Willard High School | 24:53.99 | 454 | |
| 776 | Kalynn Simon | 2022 | Joplin High School | 24:54.02 | 455 | |
| 777 | Alexis Richardson | 2021 | Poplar Bluff High School | 24:54.47 | 456 | |
| 777 | Lillian Rhodes | 2020 | Raytown High School | 24:54.47 | -- | |
| 779 | Missy Hanak | 2020 | Mehlville High School | 24:54.75 | -- | |
| 780 | Emme Thompson | 2020 | Camdenton High School | 24:55.39 | -- | |
| 781 | Olivia Stapf | 2020 | St. Joseph's Academy | 24:55.51 | -- | |
| 782 | Sydney Nitsch | 2022 | Timberland High School | 24:55.99 | -- | |
| 783 | Mary Foutz | 2021 | Central (Cape Girardeau) High School | 24:56.04 | 457 | |
| 784 | Lauren Kelley | 2020 | Webster Groves High School | 24:56.24 | -- | |
| 785 | Briana Mcghee | 2020 | Oakville High School | 24:56.50 | 458 | |
| 786 | Mia Schieffer | 2022 | Nerinx Hall High School | 24:56.78 | -- | |
| 787 | Sydni Holcomb | 2021 | Park Hill High School | 24:57.50 | -- | |
| 788 | Corinne Dolan | 2022 | Blue Springs High School | 24:57.52 | -- | |
| 789 | Ruby Bailey | 2021 | Kirkwood High School | 24:57.69 | -- | |
| 790 | Bridget Hagene | 2020 | Cor Jesu Academy | 24:58.47 | -- | |
| 791 | Emily Woodruff | 2020 | Lee's Summit High School | 24:58.70 | 459 | |
| 792 | Lilian Cash | 2022 | Francis Howell North High School | 24:59.06 | 460 | |
| 793 | Grace Hebert | 2022 | Francis Howell North High School | 24:59.98 | 461 | |
| 794 | Rose Johnson | 2022 | Webster Groves High School | 25:00.41 | -- | |
| 795 | Jasmine Kaasa | 2020 | Northwest (Cedar Hill) High School | 25:01.55 | -- | |
| 796 | Sophia Cain | 2022 | Hazelwood West High School | 25:01.70 | -- | |
| 797 | Emilie Humes | 2021 | Eureka High School | 25:01.95 | -- | |
| 798 | Madeline Prom | 2020 | Liberty North High School | 25:02.00 | -- | |
| 799 | Emma Jenkins | 2020 | Parkway South High School | 25:02.23 | -- | |
| 800 | Nicole Mayer | 2021 | Ft. Zumwalt West High School | 25:02.39 | -- | |
| 801 | Gladness Wood | 2020 | Carthage High School | 25:02.40 | -- | |
| 801 | Grace Kelly | 2022 | St. Joseph's Academy | 25:02.40 | -- | |
| 803 | Maggie Laux | 2021 | Ursuline Academy | 25:03.40 | -- | |
| 804 | Margaret Walton | 2022 | Jackson High School | 25:04.69 | -- | |
| 805 | Breanna Brenneisen | 2021 | Northwest (Cedar Hill) High School | 25:05.30 | -- | |
| 806 | Ava Duggin | 2022 | Kirkwood High School | 25:05.86 | -- | |
| 807 | Lauren Bartlow | 2020 | Marquette High School | 25:06.32 | -- | |
| 808 | Mikayla Moynahan | 2020 | Marquette High School | 25:06.63 | -- | |
| 809 | Grace Rodgers | 2021 | Ft. Zumwalt North High School | 25:07.58 | 462 | |
| 810 | Alexis Cook | 2020 | Branson High School | 25:07.67 | -- | |
| 811 | Danya Kassen | 2022 | Hickman High School | 25:07.83 | -- | |
| 812 | Aleida Tolbert | 2021 | Ozark High School | 25:08.05 | 463 | |
| 813 | Alexa Ferris | 2022 | Staley High School | 25:08.90 | -- | |
| 814 | Mason Miller | 2020 | Nixa High School | 25:09.50 | -- | |
| 815 | Kayla Deuser | 2022 | St. Joseph's Academy | 25:10.18 | -- | |
| 816 | Jazmyne Gruetzmacher | 2022 | Truman High School | 25:10.30 | 464 | |
| 817 | Sabrina Mcgraw | 2021 | Staley High School | 25:10.60 | -- | |
| 818 | Rachel Kim | 2021 | Liberty North High School | 25:12.00 | -- | |
| 819 | Jeanne Eckels | 2021 | St. Teresa's Academy | 25:12.40 | -- | |
| 820 | Serena Rizzi | 2022 | Belton High School | 25:12.56 | -- | |
| 821 | Alison Boschert | 2020 | Ft. Zumwalt North High School | 25:12.68 | -- | |
| 822 | Emily Barnett | 2022 | Liberty (Wentzville) High School | 25:13.75 | -- | |
| 823 | Kyli Smith | 2022 | Eureka High School | 25:13.76 | -- | |
| 824 | Blerta Hysenaj | 2021 | Lindbergh High School | 25:14.35 | -- | |
| 825 | Paige Mcminn | 2021 | Northwest (Cedar Hill) High School | 25:14.52 | -- | |
| 826 | Andie Stern | 2020 | Ladue Horton Watkins High School | 25:14.70 | -- | |
| 827 | Paige Balsman | 2021 | Jackson High School | 25:14.86 | -- | |
| 828 | Olivia Sopyla | 2021 | St. Teresa's Academy | 25:15.20 | -- | |
| 829 | Georgia Winfield | 2021 | St. Teresa's Academy | 25:15.60 | -- | |
| 830 | Maegan Ryan | 2022 | Northwest (Cedar Hill) High School | 25:15.73 | -- | |
| 831 | Natalie Turner | 2020 | Francis Howell North High School | 25:15.96 | 465 | |
| 832 | Audrey Erpelding | 2021 | Lindbergh High School | 25:16.46 | -- | |
| 833 | Asia Dale | 2021 | Marquette High School | 25:16.67 | -- | |
| 834 | Savanna Grasmick | 2020 | Parkway Central High School | 25:19.24 | -- | |
| 835 | Silvana Wang | 2020 | Francis Howell North High School | 25:19.58 | 466 | |
| 836 | Hannah Hoelscher | 2020 | Warrenton High School | 25:19.69 | -- | |
| 837 | Kate Burns | 2021 | Rock Bridge High School | 25:19.79 | -- | |
| 838 | Alison Smith | 2022 | Lee's Summit North High School | 25:19.80 | -- | |
| 839 | Brooke Vigna | 2022 | Timberland High School | 25:19.89 | -- | |
| 840 | Elaina Readnour | 2020 | Hillsboro High School | 25:20.04 | -- | |
| 841 | Karly Parcell | 2020 | Hickman High School | 25:20.36 | -- | |
| 842 | Olivia Neunaber | 2021 | Francis Howell North High School | 25:20.40 | -- | |
| 843 | Danielle Zhang | 2022 | Ladue Horton Watkins High School | 25:21.62 | -- | |
| 844 | Rachel Hamaker | 2021 | Lee's Summit North High School | 25:22.10 | -- | |
| 845 | Mia Phillips | 2022 | Hillsboro High School | 25:23.29 | -- | |
| 846 | Emma Brady | 2022 | Ft. Zumwalt West High School | 25:23.82 | -- | |
| 847 | Desiree Wilkins | 2022 | West Plains High School | 25:23.90 | -- | |
| 848 | Jasmine Calloway | 2020 | Staley High School | 25:24.40 | -- | |
| 849 | Kaitlyn Lampe | 2021 | Cor Jesu Academy | 25:25.00 | -- | |
| 850 | Mikayla Huber | 2021 | Francis Howell High School | 25:25.10 | -- | |
| 851 | Quinlynn Sanneman | 2021 | Platte County High School | 25:25.70 | -- | |
| 852 | Aarushi Boinepally | 2021 | Marquette High School | 25:25.80 | -- | |
| 853 | Jenna Lee | 2021 | Marquette High School | 25:26.10 | -- | |
| 854 | Amanda Willenbrock | 2021 | Francis Howell North High School | 25:26.40 | -- | |
| 855 | Nicole Overbay | 2020 | Fort Osage High School | 25:26.62 | -- | |
| 856 | Caitlynne Jenni | 2021 | Platte County High School | 25:27.00 | -- | |
| 857 | Madison Geschwind | 2021 | Lee's Summit North High School | 25:27.30 | -- | |
| 858 | Michelle Griffin | 2022 | Francis Howell High School | 25:28.16 | -- | |
| 859 | Paige Lorenz | 2022 | Marquette High School | 25:29.03 | -- | |
| 860 | Claire Hornberger | 2021 | Lafayette (Wildwood) High School | 25:29.16 | -- | |
| 861 | Ella Boyle | 2022 | Grain Valley High School | 25:29.40 | -- | |
| 862 | Julia Geis | 2021 | Cor Jesu Academy | 25:29.60 | -- | |
| 863 | Riley May | 2020 | Liberty High School | 25:30.10 | -- | |
| 864 | Avery Zook | 2020 | North Kansas City High School | 25:30.30 | -- | |
| 865 | Ava Cordner | 2022 | Lindbergh High School | 25:30.60 | -- | |
| 866 | Emily Collins | 2020 | McCluer North High School | 25:30.97 | 467 | |
| 867 | Kenya Jones | 2021 | Poplar Bluff High School | 25:31.70 | 468 | |
| 868 | Alicia Shane | 2021 | Ft. Zumwalt West High School | 25:31.91 | -- | |
| 869 | Emily Pozzo | 2021 | Cor Jesu Academy | 25:32.03 | -- | |
| 870 | Oliva Bader | 2022 | Rock Bridge High School | 25:32.20 | -- | |
| 871 | Kailla Boman | 2019 | Nixa High School | 25:32.50 | -- | |
| 872 | Miranda Mcclanahan | 2022 | Blue Springs High School | 25:33.00 | -- | |
| 873 | Kendall Scharfen | 2021 | Lee's Summit High School | 25:34.60 | 469 | |
| 874 | Elizabeth Hemmer | 2021 | Troy Buchanan High School | 25:35.20 | 470 | |
| 875 | Ava Lewis | 2022 | Rock Bridge High School | 25:35.24 | -- | |
| 876 | Gabrielle Bauwens | 2022 | Northwest (Cedar Hill) High School | 25:36.13 | -- | |
| 877 | Clara Plass | 2021 | Parkway West High School | 25:36.30 | -- | |
| 877 | Skye Garrett | 2021 | Rockwood Summit High School | 25:36.30 | -- | |
| 879 | Kate Lopez | 2022 | Rock Bridge High School | 25:36.47 | -- | |
| 880 | Jordan Mortellaro | 2021 | Ft. Zumwalt South High School | 25:36.66 | -- | |
| 881 | Zara Hirt | 2022 | Parkway South High School | 25:36.80 | -- | |
| 882 | Emma Smout | 2021 | Parkway West High School | 25:36.97 | -- | |
| 883 | Maya Klein | 2021 | Parkway South High School | 25:37.11 | -- | |
| 884 | Elizabeth Reece | 2021 | Troy Buchanan High School | 25:37.61 | 471 | |
| 885 | Caroline Schuldt | 2022 | Ladue Horton Watkins High School | 25:38.10 | -- | |
| 885 | Faduma Ahmed | 2020 | North Kansas City High School | 25:38.10 | -- | |
| 887 | Rachel Kelly | 2020 | Northwest (Cedar Hill) High School | 25:38.24 | -- | |
| 888 | Lindsey Moyer | 2021 | Blue Springs High School | 25:38.64 | -- | |
| 889 | Natalia Salazar | 2021 | Francis Howell North High School | 25:40.40 | -- | |
| 890 | Bennett Mueller | 2022 | DeSmet Jesuit High School | 25:40.80 | -- | |
| 891 | Abigail Newborn | 2022 | Kickapoo High School | 25:41.20 | 472 | |
| 892 | Eunice Antwi | 2021 | Ft. Zumwalt East High School | 25:41.49 | 473 | |
| 893 | Taylor Werges | 2020 | Eureka High School | 25:41.83 | -- | |
| 894 | Mary Mitts | 2021 | Troy Buchanan High School | 25:42.58 | 474 | |
| 895 | Allison Durham | 2020 | McCluer High School | 25:43.80 | -- | |
| 896 | May Lorenz | 2022 | Ladue Horton Watkins High School | 25:44.10 | -- | |
| 897 | Samantha Kalschultz | 2020 | Ft. Zumwalt North High School | 25:44.32 | -- | |
| 898 | Maddie Dodd-ryburn | 2022 | Kirkwood High School | 25:45.16 | -- | |
| 899 | Anna Wohldmann | 2020 | Ft. Zumwalt North High School | 25:45.42 | -- | |
| 900 | Brooklyn King | 2022 | Waynesville High School | 25:45.92 | -- | |
| 901 | Ryland Jones | 2020 | Lee's Summit North High School | 25:46.00 | -- | |
| 902 | Chante Graham | 2020 | Belton High School | 25:46.74 | -- | |
| 903 | Grace Tang | 2021 | Central (St. Joseph) High School | 25:47.20 | -- | |
| 903 | Justine Suba | 2021 | Park Hill High School | 25:47.20 | -- | |
| 905 | Claire Molner | 2022 | Nerinx Hall High School | 25:47.26 | -- | |
| 906 | Megan Lawler | 2022 | Nerinx Hall High School | 25:47.39 | -- | |
| 907 | Samantha Cea | 2022 | Lee's Summit West High School | 25:47.70 | -- | |
| 908 | Zhenni Zhang | 2022 | Parkway Central High School | 25:47.87 | -- | |
| 909 | Beth Nolte | 2021 | Parkway South High School | 25:48.54 | -- | |
| 910 | Averie Medley | 2021 | Park Hill High School | 25:49.30 | -- | |
| 911 | Natalie Schaljo | 2021 | McCluer North High School | 25:49.51 | 475 | |
| 912 | Sophia Horowitz | 2021 | Parkway Central High School | 25:49.80 | -- | |
| 913 | Emma Price | 2021 | Troy Buchanan High School | 25:50.79 | 476 | |
| 914 | Eileen Croxton | 2021 | Lindbergh High School | 25:50.98 | -- | |
| 915 | Keishauna Pleasant | 2020 | McCluer North High School | 25:51.01 | 477 | |
| 916 | Juli Evans | 2021 | Jackson High School | 25:51.16 | -- | |
| 917 | Carly Dwyer | 2020 | Lee's Summit North High School | 25:51.50 | -- | |
| 918 | Emily Weians | 2021 | Notre Dame de Sion High School | 25:51.90 | 478 | |
| 919 | Caitlin Vento | 2020 | Lee's Summit High School | 25:52.10 | -- | |
| 920 | Sofia Occhipinti | 2022 | Liberty North High School | 25:53.70 | -- | |
| 921 | Kyla Schulte | 2020 | Ozark High School | 25:53.89 | -- | |
| 922 | Feleesia Cunningham | 2020 | McCluer North High School | 25:54.09 | 479 | |
| 923 | Sophie Zimmerman | 2021 | Platte County High School | 25:55.90 | -- | |
| 924 | Haylee Payne | 2020 | Blue Springs High School | 25:55.95 | -- | |
| 925 | Taylor Carroll | 2021 | Liberty (Wentzville) High School | 25:56.03 | -- | |
| 926 | Lexi Mcclard | 2020 | Marquette High School | 25:56.70 | -- | |
| 927 | Erin Koller | 2020 | Rock Bridge High School | 25:56.90 | -- | |
| 928 | Marie Bolton | 2020 | Kearney High School | 25:57.30 | -- | |
| 929 | Abigail Brown | 2020 | Washington High School | 25:57.48 | -- | |
| 930 | Ella Castro | 2021 | Ursuline Academy | 25:57.60 | -- | |
| 931 | Claire Schmidt | 2021 | Parkway South High School | 25:57.69 | -- | |
| 932 | Cezanne Tolbert | 2020 | St. Teresa's Academy | 25:57.70 | -- | |
| 933 | Ella Rogge | 2022 | Notre Dame de Sion High School | 25:58.60 | -- | |
| 934 | Sophie Huesam | 2021 | Ft. Zumwalt South High School | 25:58.70 | -- | |
| 935 | Erin Harrelson | 2020 | Ft. Zumwalt South High School | 25:58.94 | -- | |
| 936 | Sprang Emily | 2021 | Kirkwood High School | 25:59.14 | -- | |
| 937 | Kim Kaischultz | 2020 | Ft. Zumwalt North High School | 25:59.74 | -- | |
| 938 | Megan Williams | 2020 | Ft. Zumwalt South High School | 25:59.97 | -- | |
| 939 | Grace Esker | 2022 | Parkway South High School | 26:00.92 | -- | |
| 940 | Faith Aguilarleon | 2020 | Rolla High School | 26:03.17 | 480 | |
| 941 | Nivy Prubhu | 2020 | Rockwood Summit High School | 26:03.35 | -- | |
| 942 | Gwyndolyn Defeo | 2022 | Jefferson City High School | 26:03.40 | -- | |
| 943 | Rachel Riegal | 2020 | Rock Bridge High School | 26:03.75 | -- | |
| 944 | Raven Wade | 2021 | Raymore-Peculiar High School | 26:05.00 | -- | |
| 945 | Sarah Simons | 2020 | Washington High School | 26:05.65 | -- | |
| 946 | Rebecca Atteberry | 2021 | Lafayette (Wildwood) High School | 26:06.10 | -- | |
| 947 | Lily Baughman | 2021 | Liberty High School | 26:06.20 | -- | |
| 948 | Anna Frerker | 2020 | Notre Dame de Sion High School | 26:06.60 | -- | |
| 949 | Karlie Ricks | 2022 | Northwest (Cedar Hill) High School | 26:06.63 | -- | |
| 950 | Maeven Weber | 2020 | Camdenton High School | 26:06.72 | -- | |
| 951 | Camila Gilchrist | 2022 | Lafayette (Wildwood) High School | 26:06.89 | -- | |
| 952 | Haley Marin | 2021 | Raymore-Peculiar High School | 26:06.90 | -- | |
| 953 | Mikhayla Jones | 2021 | Grain Valley High School | 26:07.60 | -- | |
| 954 | Erin Lambert | 2021 | Cor Jesu Academy | 26:07.69 | -- | |
| 955 | Daisy Oxler | 2021 | St. Teresa's Academy | 26:08.00 | -- | |
| 956 | Avery Spiesman | 2022 | Webster Groves High School | 26:08.12 | -- | |
| 957 | Danyell Moore | 2022 | Ozark High School | 26:08.50 | -- | |
| 958 | Maleigh Tittle | 2022 | Timberland High School | 26:08.66 | -- | |
| 959 | Jade Antezana | 2021 | Kirkwood High School | 26:08.70 | -- | |
| 960 | Maggie Walton | 2022 | Jackson High School | 26:09.24 | -- | |
| 961 | Katelynn Thompson | 2020 | Park Hill South High School | 26:09.40 | -- | |
| 962 | Emma Beadle | 2022 | Nixa High School | 26:11.56 | -- | |
| 963 | Claire Robinson | 2022 | Northwest (Cedar Hill) High School | 26:11.64 | -- | |
| 964 | Brooke Jefferies | 2022 | Lafayette (Wildwood) High School | 26:12.17 | -- | |
| 965 | Alex Kerr | 2020 | St. Teresa's Academy | 26:12.30 | -- | |
| 966 | Caroline Hager | 2020 | Rockwood Summit High School | 26:13.10 | -- | |
| 967 | Lara O'brien | 2021 | Ft. Zumwalt North High School | 26:13.28 | -- | |
| 968 | Lydia Fritter | 2021 | Webster Groves High School | 26:14.00 | -- | |
| 969 | Cassi Blakemore | 2022 | Timberland High School | 26:14.72 | -- | |
| 970 | Mia Hayden | 2022 | Francis Howell High School | 26:14.83 | -- | |
| 971 | Maddy Kennecutt | 2020 | Lee's Summit West High School | 26:16.80 | -- | |
| 972 | Laney Umsted | 2022 | Eureka High School | 26:16.97 | -- | |
| 973 | Sydney Cowan | 2022 | Holt High School | 26:17.16 | -- | |
| 974 | Vanessa Marquez | 2021 | Carthage High School | 26:17.70 | -- | |
| 975 | Haley Schellert | 2021 | Francis Howell High School | 26:19.64 | -- | |
| 976 | Emily Clancy | 2021 | Liberty North High School | 26:20.30 | -- | |
| 977 | Kylie Hawk | 2021 | Rockwood Summit High School | 26:20.33 | -- | |
| 978 | Emma Graham | 2021 | Smith-Cotton High School | 26:20.89 | 481 | |
| 978 | Gabriella Sanchez | 2021 | Nerinx Hall High School | 26:20.89 | -- | |
| 980 | Kaylee Patterson | 2022 | Kirkwood High School | 26:21.41 | -- | |
| 981 | Elizabeth Nickel | 2020 | Parkway West High School | 26:21.99 | -- | |
| 982 | Ava Biermann | 2021 | Ft. Zumwalt South High School | 26:22.09 | -- | |
| 983 | Sierra Hayes | 2020 | Francis Howell High School | 26:22.27 | -- | |
| 984 | Mara Kugler | 2021 | St. Teresa's Academy | 26:22.40 | -- | |
| 985 | Devon Simms | 2020 | Truman High School | 26:22.70 | 482 | |
| 986 | Megan Bishop | 2021 | Francis Howell High School | 26:22.89 | -- | |
| 987 | Olivia Poteet | 2021 | Smith-Cotton High School | 26:24.33 | 483 | |
| 988 | Emily Warner | 2021 | Nerinx Hall High School | 26:24.70 | -- | |
| 989 | Jewelia Nichols | 2022 | Truman High School | 26:25.63 | 484 | |
| 990 | Em Blackstone | 2021 | Raymore-Peculiar High School | 26:26.20 | -- | |
| 991 | Jesse Coverdell | 2021 | Rolla High School | 26:28.77 | 485 | |
| 992 | Aurora Baker | 2021 | Oakville High School | 26:29.98 | 486 | |
| 993 | Fiona Smith | 2021 | Webster Groves High School | 26:30.19 | -- | |
| 994 | Macy Cronin | 2022 | Francis Howell North High School | 26:30.55 | -- | |
| 995 | Shalia Njoroge | 2021 | Parkview High School | 26:31.60 | -- | |
| 996 | Madalyn Kuhlmann | 2020 | Warrenton High School | 26:31.79 | -- | |
| 997 | Reyhan Reinisch | 2021 | Troy Buchanan High School | 26:32.20 | -- | |
| 998 | Maly Smith | 2020 | Lee's Summit North High School | 26:32.30 | -- | |
| 999 | Alexis Francisco | 2022 | Oakville High School | 26:32.68 | 487 | |
| 1000 | Isabella Fish | 2022 | Oak Park High School | 26:33.30 | -- |
