| 1 | Sacred Heart Academy | Louisville, KY | 25-1-0 | 1 | Eleanor Cowley Mitchell | KHSAA State Champions |
| 2 | New Trier | Winnetka, IL | 22-2-0 | 2 | Stephanie Nykaza | Illinois State Champions |
| 3 | Columbus Academy | Columbus, OH | 21-0-0 | 3 | Anne Horton | Ohio State Champions |
| 4 | Los Gatos | Los Gatos, CA | 22-0-0 | 4 | Henry Reyes | Central Coast Section Champions |
| 5 | St. John's School | Houston, TX | 18-0-1 | 5 | Craig Chambers | SPC Champions |
| 6 | Kentucky Country Day School | Louisville, KY | 21-5-2 | 6 | Amy Elliott | Kentucky State Runner-Up (lost to Sacred Heart Academy 0-1) |
| 7 | Scripps Ranch | San Diego, CA | 25-2-0 | 7 | Danitra Castro | San Diego Section Open Division Champions |
| 8 | Lake Forest | Lake Forest, IL | 18-5-1 | 8 | Catherine Catanzaro | Illinois State Runner-up (Lost to New Trier 0-3 in final) |
| 9 | DuPont Manual | Louisville, KY | 20-6-2 | 10 | Brittany Vencill | Kentucky State Semifinalist (lost to Sacred Heart Academy 1-2) |
| 10 | Villa Duchesne & Oak Hill School | Saint Louis, MO | 22-5-1 | 11 | Kate Graft | Midwest Tournament Champions |
| 11 | Huron | Ann Arbor, MI | 18-2-0 | 12 | Lauren Hall | Michigan Division I State Champions |
| 12 | Regis Jesuit | Aurora, CO | 15-2-1 | 13 | Spencer Wagner | Colorado State Champions |
| 13 | Ballard | Louisville, KY | 13-6-1 | 14 | Shelby Daeschner | Kentucky State Quarterfinalist (lost to Sacred Heart 2-5) |
| 14 | San Pasqual | Escondido, CA | 25-2-0 | NR | Rosene Shaw | San Diego Section Open Division Runner-Up (lost to Scripps Ranch 0-1) |
| 15 | Assumption | Louisville, KY | 18-7-2 | 15 | Jody Schaefer | Kentucky State Semifinalist (lost to KCD 1-2 OT) |
| 16 | MICDS | Saint Louis, MO | 21-6-0 | 16 | Lynn Mittler | Midwest Tournament Runner-Up (lost to Villa Duchesne 0-1) |
| 17 | Saline | Saline, MI | 15-3-1 | 17 | Erica Reilly | Michigan Division I State Runner-Up (lost to Huron 0-1) |
| 18 | Serra | San Diego, CA | 20-3-0 | 9 | Laurie Berger | San Diego Section Open Division Semifinalist (lost to San Pasqual 0-1) |
| 19 | Cherry Creek | Greenwood Village, CO | 16-1-1 | 19 | Clare Detrick-Yee | Colorado State Runner-Up (lost to Regis Jesuit 1-2 OT) |
| 20 | Harvard Westlake | Los Angeles, CA | 19-0-0 | 20 | Erin Creznic | LAFHA Champions |
| | | | | | |
| OC | Christian Academy of Louisville | Louisville, KY | 12-9-1 | OC | Olivia Netzler-Gray | Kentucky State Quarterfinalist (lost to KCD 0-2) |
| OC | Colorado Academy | Denver, CO | 12-4-1 | OC | Veronica Scott | Colorado State Semifinalist (lost to Cherry Creek 1-3) |
| OC | Cor Jesu Academy | Saint Louis, MO | 16-6-1 | OC | Audrey Ploesser | Midwest Tournament Semifinalist (lost to MICDS 2-4) |
| OC | Cupertino | Cupertino, CA | 15-6-2 | NR | Allyson Velasquez | Central Coast Section Runner-Up (lost to Los Gatos 0-3) |
| OC | Dexter | Dexter, MI | 12-5-1 | OC | Trish Machemer | Michigan Division I State Semifinalist (lost to Saline 0-1) |
| OC | Glenbard West | Glen Ellyn, IL | 15-12-2 | OC | Karen Judge | Illinois State Semifinalist (lost to New Trier 0-1), Third Place Finish (beat NSCD 3-2 OT) |
| OC | Hudson | Hudson, OH | 17-4-0 | NR | Louise Knox | Ohio State Runner-Up (lost to Columbus Academy 0-3), North East Ohio Field Hockey League Champions |
| OC | Kent Denver | Englewood, CO | 12-2-2 | OC | Kathy James | Colorado State Semifinalist (lost to Regis Jesuit 0-1) |
| OC | Kinkaid School | Houston, TX | 11-7-0 | OC | Jackie Ciconte | SPC Runner-Up (lost to St. John's School 0-3) |
| OC | North Shore Country Day School | Winnetka, IL | 19-3-0 | OC | Mullery Doar | Illinois State Semifinalist (lost to Lake Forest 0-2), Fourth Place Finish (lost to Glenbard West 2-3 OT) |
| OC | Pioneer | Ann Arbor, MI | 15-7-0 | OC | Jane Nixon | Michigan Division I State Semifinalist (lost to Huron 0-2) |
| OC | Thomas Worthington | Worthington, OH | 18-2-0 | 18 | Terri Simonetti-Frost | Ohio State Semifinalist (lost to Hudson 2-3 OT SO) |
2018 WEST/MID-WEST REGION HIGH SCHOOL
