| Name | Mannschaft | Zeit | ||
|---|---|---|---|---|
| 1 |  | Katie Ledecky | Katie Ledecky | 4:00.45m |
| 2 |  | Bingjie Li | Bingjie Li | +1.12s |
| 3 |  | Summer McIntosh | Summer McIntosh | +2.27s |
| 4 |  | Isabel Marie Gose | Isabel Marie Gose | +2.76s |
| 5 |  | Anastasiia Kirpichnikova | Anastasiia Kirpichnikova | +7.56s |
| 6 | | Anna Egorova | Anna Egorova | +7.79s |
| 7 |  | Beril Böcekler | Beril Böcekler | +7.82s |
| 8 |  | Miyu Namba | Miyu Namba | +13.04s |
| # | Land | Gold | Silber | Bronze | Gesamt | |
|---|---|---|---|---|---|---|
| 1 | | USA | 39 | 41 | 33 | 113 |
| 2 | | China | 38 | 32 | 19 | 89 |
| 3 | | Japan | 27 | 14 | 17 | 58 |
| 4 |  | Grossbritannien | 22 | 20 | 22 | 64 |
| 5 | | Russian Olympic Committee | 20 | 28 | 23 | 71 |
| 6 |  | Australien | 17 | 7 | 22 | 46 |
| 7 |  | Niederlande | 10 | 12 | 14 | 36 |
| 24 |  | Schweiz | 3 | 4 | 6 | 13 |
