| 1 | Kimi Goetz (Senior) | USA | 1:54.14 | | - |
| 2 | Brittany Bowe (Senior) | USA | 1:54.19 | | +0.050 |
| 3 | Greta Myers (Neo) | USA | 1:56.10 | SB | +1.960 |
| 4 | Arianna Fontana (Senior) | ITA | 1:58.20 | | +4.060 |
| 5 | Mia Manganello (Senior) | USA | 1:58.33 | | +4.190 |
| 6 | Chrysta Rands-Evans (Senior) | USA | 2:00.86 | PB | +6.720 |
| 7 | Sarah Warren (Senior) | USA | 2:01.17 | SB | +7.030 |
| 8 | Giorgia Birkeland (Neo) | USA | 2:01.51 | PB | +7.370 |
| 9 | Emma de Bock (B1) | USA | 2:04.60 | PB | +10.460 |
| 10 | Anna Quinn (Senior) | USA | 2:05.10 | SB | +10.960 |
| 11 | Piper Yde (Neo) | USA | 2:05.42 | PB | +11.280 |
| 12 | McKenzie Browne (Senior) | USA | 2:05.65 | SB | +11.510 |
| 13 | Ilsa Melin Sandvig Shobe (Senior) | USA | 2:07.05 | | +12.910 |
| 14 | Rebecca Simmons (M35) | USA | 2:07.63 | | +13.490 |
| 15 | Libby Williams (Neo) | USA | 2:09.65 | | +15.510 |
| 16 | Larissa Paes (Senior) | BRA | 2:09.86 | | +15.720 |
| 17 | Maria Victoria Rodriguez (Senior) | ARG | 2:10.24 | | +16.100 |
| 18 | Isabela Vargas Rodriguez (A1) | COL | 2:11.24 | SB | +17.100 |
| 19 | Evie Forrer (B1) | USA | 2:12.03 | | +17.890 |
| 20 | Amy Acosta (Neo) | ECU | 2:16.05 | PB | +21.910 |
| 21 | Cynthia Jennings (Senior) | USA | 2:16.94 | SB | +22.800 |
| 22 | Natalie Rodrigue-Hasselback (M50) | USA | 2:19.99 | | +25.850 |
| 23 | Barbara Johnson (M70) | USA | 2:34.23 | | +40.090 |
| 24 | Kathy Feinberg (M60) | USA | 2:53.78 | | +59.640 |