| Place | Name | A.G | Club | Time | R.T. | FINA Pt | |||
| 1. | European Allstars | EAS | 3:49.14 | 953 | |||||
| Simona BAUMRTOVA | 56.49 | + 0.74 | 27.03 | 29.46 | |||||
| Moniek NIJHUIS� | 1.04.53 | + 0.34 | 30.19 | 34.34 | |||||
| Jeanette OTTESEN-GRAY | 56.07 | + 0.32 | 26.12 | 29.95 | |||||
| Francesca HALSALL | 52.05 | + 0.33 | 24.84 | 27.21 | |||||
| 2. | USA | USA | 3:51.38 | 926 | |||||
| Olivia SMOLIGA | 57.53 | + 0.68 | 27.98 | 29.55 | |||||
| Breeja LARSON | 1.04.79 | + 0.13 | 30.16 | 34.63 | |||||
| Claire DONAHUE | 56.80 | + 0.03 | 25.70 | 31.10 | |||||
| Megan ROMANO | 52.26 | + 0.08 | 24.47 | 27.79 | |||||