| Year | Class | Champion (Record) | Runner Up | Score |
| 1927 | - | Northeast (Kansas City) | Central (Springfield) | 27 - 17 |
| 1928 | - | Oregon (34-2) | Central (Springfield) | 25 - 16 |
| 1929 | - | East (Kansas City) | Southwest (Kansas City) | 30 - 18 |
| 1930 | - | Central (Kansas City) | East (Kansas City) | 13 - 11 |
| 1931 | - | Benton (St. Joseph) (21-20 | New Point | 21 - 18 |
| 1932 | B | Fruitland (28-2) | University High (Cape Girardeau) | 21 - 14 |
| A | Rockhurst | Joplin | 17 - 15 | |
| 1933 | B | Christian Brothers (21-2) | Jackson | 23 - 15 |
| A | Beaumont | St. Louis University High | 29 - 23 | |
| 1934 | - | Jackson (20-2) | Southwest (Kansas City) | 17 - 11 |
| 1935 | - | Northeast (Kansas City) | Hickman | 23 - 21 |
| 1936 | - | Hickman (24-0) | Joplin | 28 - 24 |
| 1937 | - | Maryville (32-0) | Central (Springfield) | 51 -27 |
| 1938 | - | Houston | University High (Cape Girardeau) | 34 - 26 |
| 1939 | B | Camdenton | Richland (Essex) | 30 - 17 |
| A | Joplin | St. Louis University High | 39 - 30 | |
| 1940 | B | Zalma (27-2) | Bland | 25 - 21 |
| A | McBride (St. Louis) | Central (Springfield) | 30 - 28 | |
| 1941 | B | Camdeton | Rogersville | 43 - 34 |
| A | Benton (St. Louis) | Soldan | 50 - 27 | |
| 1942 | B | Greenwood (26-4) | Hopkins | 45 - 41 |
| A | Beaumont (21-2) | St. Louis University High | 27 - 23 | |
| 1943 | - | Beaumont (26-2) | Conway | 30 - 27 |
| 1944 | - | Bismarck (35-3) | Lebanon | 40 - 38 |
| 1945 | - | (42-3) | Central (Springfield) | 42 - 25 |
| 1946 | - | St. Louis Univ. High (27-3) | Bismarck | 42 - 20 |
| 1947 | - | Beaumont (29-1) | Versailles | 59 - 42 |
| 1948 | - | Beaumont (28-2) | St. James | 44 - 35 |
| 1949 | - | Buffalo (36-2) | Rockhurst | 57 - 44 |
| 1950 | B | Ozark (30-2) | School of the Osage | 33 - 20 |
| A | Joplin (21-3) | Kirkwood | 46 - 44 2OT | |
| 1951 | B | Puxico (40-0) | Waynesville | 42 - 38 |
| A | Normandy (30-1) | Maplewood-Richmond Heights | 46 - 42 | |
| 1952 | B | Puxico (39-2) | Shelbyville | 85 - 37 |
| A | St. Louis Univ. High (26-5) | DeAndreis (St. Louis) | 50 - 40 | |
| 1953 | B | John Burroughs (27-1) | Puxico | 73 - 65 |
| A | Cleveland (St. Louis) (25-4) | St. Louis University Heights | 62 - 46 | |
| 1954 | B | Sparta (39-2) | Morehouse | 58 - 56 2OT |
| A | Central (Cape Girard.) (25-1) | Christian Brothers | 79 - 55 | |
| 1955 | B | Branson (41-0) | University High (Warrensburg) | 77 - 58 |
| A | Joplin (24-6) | Northeast (Kansas City) | 47 - 44 | |
| 1956 | S | New Haven (35-2) | Mayview | 86 - 53 |
| M | Pembroke Country Day (31-0) | Horace Mann (Maryville) | 79 - 69 | |
| L | Beaumont (29-2) | Maplewood-Richmond Heights | 67 - 56 | |
| 1957 | S | New Haven (32-2) | Bogard | 94 - 47 |
| M | Pembroke Country Day (28-3) | Advance | 50 - 49 | |
| L | St. Charles (24-8) | North Kansas City | 60 - 54 | |
| 1958 | S | New Haven (33-1) | Halfway | 55 - 42 |
| M | Branson (35-1) | Thayer | 49 - 32 | |
| L | St. Louis Univ. High (28-0) | Central (St. Joseph) | 56 - 43 | |
| 1959 | S | New Haven (30-4) | Nixa | 57 - 41 |
| M | St. Agnes (Springfield) (30-1) | Maryville | 60 - 48 | |
| L | Christian Brothers (27-4) | Joplin | 75 - 63 | |
| 1960 | S | Van Buren (33-3) | Madison | 76 - 74 2OT |
| M | Bolivar (30-4) | Troy Buchanan | 50 - 38 | |
| L | Christian Brothers (22-5) | St. Louis University High | 61 - 49 | |
| 1961 | S | Kearney (25-3) | Everton | 66 - 48 |
| M | Lillis (Kansas City) (29-0) | Thayer | 47 - 41 | |
| L | St. Louis Univ. High (24-5) | Crystal City | 52 - 51 | |
| 1962 | S | Bradleyville (28-4) | North Harrison | 59 - 49 |
| M | Bowling Green (25-8) | Branson | 33 - 32 | |
| L | Hickman (26-1) | Kirkwood | 57 - 47 | |
| 1963 | S | Exeter (35-0) | South Iron | 54 - 43 |
| M | Republic (34-1) | Bernie | 78 - 63 | |
| L | Christian Brothers (25-7) | Jefferson City | 47 - 38 | |
| 1964 | S | Goodman (24-2) | South Iron | 76 - 67 |
| M | Buffalo (34-1) | Richland (Essex) | 79 - 63 | |
| L | Bishop DuBourg (28-5) | Parkview | 62 - 52 | |
| 1965 | S | South Iron (30-3) | Golden City | 69 - 47 |
| M | Buffalo (32-3) | California | 65 - 49 | |
| L | Parkview (27-1) | Center (Kansas City) | 67 - 50 | |
| 1966 | S | Wright City (27-7) | Greenwood | 55 - 45 |
| M | Owensville (30-7) | Willard | 62 - 54 | |
| L | Central (Kansas City) (19-5) | Parkview | 52 - 48 | |
| 1967 | S | Bradleyville (34-1) | Archie | 60 - 47 |
| M | Warrensburg (27-0) | Buffalo | 64 - 51 | |
| L | Joplin (25-1) | Central (Kansas City) | 55 - 54 OT | |
| 1968 | S | Bradleyville (33-0) | Howardville | 76 - 73 4OT |
| M | Matthews (34-1) | Boonville | 70 - 61 | |
| L | O'Fallon tech (25-4) | Hickman | 55 - 54 | |
| 1969 | S | St. George (Hermann) (31-3) | Skyline | 70 - 54 |
| M | Dixon (36-0) | Oran | 76 - 74 | |
| L | Sumner (30-2) | Webster Groves | 71 - 57 | |
| 1970 | S | New Haven (24-8) | Jameson | 79 - 69 |
| M | Hermann (33-0) | Lutheran South | 42 - 36 | |
| L | Raytown South (27-1) | Rockhurst | 68 - 65 OT | |
| 1971 | S | Stanberry (26-5) | Wright City | 75 - 66 |
| M | Manual (Kansas City) (24-2) | Fredericktown | 54 - 51 | |
| L | Vashon (24-2) | Paseo (Kansas City) | 78 - 72 | |
| 1972 | S | Advance (27-5) | Marion C. Early | 69 - 61 |
| M | Montgomery City (29-4) | St. Pius X (Kansas City) | 68 - 48 | |
| L | Raytown South (24-5) | Kirkwood | 52 - 48 | |
| 1973 | S | Forsyth (26-8) | Advance | 63 - 60 |
| M | Lutheran South (30-1) | Manual (Kansas City) | 76 - 62 | |
| L | DeSmet (28-5) | Kirkwood | 51 - 47 | |
| 1974 | 1A | Glasgow (33-0) | Greenfield | 78 - 73 |
| 2A | Lilbourn (30-2) | Nixa | 70 - 64 | |
| 3A | Owensville (30-1) | St. Pius X (Kansas City) | 51 - 48 | |
| 4A | McCluer (30-2) | Central (St. Louis) | 57 - 48 | |
| 1975 | 1A | Advance (29-3) | Northeast Nodaway | 55 - 44 |
| 2A | Lilbourn (31-0) | Logan-Rogersville | 84 - 66 | |
| 3A | Charleston (29-4) | Lafayetter (St. Joseph) | 57 - 56 | |
| 4A | McCluer (20-9) | Sumner | 71 - 66 | |
| 1976 | 1A | Scott Co. Central (32-1) | Glasgow | 82 - 71 |
| 2A | St. James (24-6) | Clearwater | 72 - 46 | |
| 3A | Lafayette (St. Joseph) (28-3) | Memorial (Joplin) | 87 - 82 | |
| 4A | Center (Kansas City) (29-0) | Central (St. Louis) | 66 - 54 | |
| 1977 | 1A | Lesterville (30-3) | Northeast Nodaway | 45 - 38 |
| 2A | Bishop LeBlond (27-5) | Linn | 64 - 56 | |
| 3A | Memorial (Joplin) (31-1) | Charleston | 80 - 73 | |
| 4A | Raytown South (25-4) | Central (Kansas City) | 67 - 53 | |
| 1978 | 1A | Glasgow (24-7) | Marionville | 52 - 47 |
| 2A | Nixa (30-1) | Lilbourn | 95 - 56 | |
| 3A | Memorial (Joplin) (31-0) | McKinley | 97 - 69 | |
| 4A | DeSmet (31-1) | Central (Kansas City) | 61 - 57 | |
| 1979 | 1A | Scott Co. Central (30-3) | Sparta | 75 - 51 |
| 2A | Palmyra (29-0) | Crystal City | 65 - 61 | |
| 3A | Central (Kansas City) (30-1) | Charleston | 49 - 44 | |
| 4A | DeSmet (32-0) | William Chrisman | 77 - 64 | |
| 1980 | 1A | Glasgow (29-1) | Greenwood | 56 - 41 |
| 2A | Scott Co. Central (32-1) | Slater | 94 - 52 | |
| 3A | Charleston (25-6) | Republic | 50 - 44 | |
| 4A | Central (Cape Girardeau) (29-4) | Hickman Mills | 53 - 51 | |
| 1981 | 1A | Mound City (27-0) | Wellsville-Middletown | 62 - 52 |
| 2A | North Pemiscot (27-4) | Willow Springs | 51 - 49 | |
| 3A | Chillicothe (23-6) | St. Francis Borgia | 58 - 49 | |
| 4A | Soldan (28-3) | DeSmet | 57 - 45 | |
| 1982 | 1A | Marion C. Early (25-5) | Greenwood | 66 - 56 |
| 2A | Marionville (25-5) | Monroe City | 70 - 61 | |
| 3A | Logan-Rogersville (29-1) | Chillicothe | 61 - 57 | |
| 4A | DeSmet (27-5) | St. Louis University High | 41 - 39 | |
| 1983 | 1A | Scott Co. Central (30-3) | Clopton | 89 - 71 |
| 2A | Hayti (24-6) | Licking | 78 - 72 | |
| 3A | Charleston (30-3) | Warrensburg | 71 - 65 | |
| 4A | Vashon (12-19) | Van Horn | 75 - 62 | |
| 1984 | 1A | Springfield Catholic (28-4) | Clopton | 40 - 37 |
| 2A | Eskridge (26-6) | Slater | 67 - 50 | |
| 3A | McKinley (St. Louis) (26-4) | Ozark | 60 - 56 | |
| 4A | Hillcrest (25-7) | Vashon | 51 - 50 | |
| 1985 | 1A | Scott Co. Central (27-1) | Northeast Nodaway | 73 - 58 |
| 2A | Lathrop (27-0) | Eskridge | 46 - 45 | |
| 3A | Malden (30-3) | Lutheran North | 88 - 67 | |
| 4A | Vashon (27-5) | Soldan | 52 - 49 OT | |
| 1986 | 1A | Scott Co. Central (28-6) | Wellsville-Middletown | 84 - 76 3OT |
| 2A | Notre Dame (Cape Gir.) (26-6) | Nixa | 66 - 47 | |
| 3A | Charleston (28-5) | Logan-Rogersville | 44 - 43 | |
| 4A | Vason (31-1) | Rockhurst | 72 - 43 | |
| 1987 | 1A | Scott Co. Central (28-5) | Wellsville-Middletown | 85 - 69 |
| 2A | Notre Dame (Cape Gir.) (31-2) | Hartville | 74 - 68 | |
| 3A | Charleston (28-4) | Fulton | 37 - 36 | |
| 4A | Rockhurst (23-7) | Kickapoo | 63 - 58 2OT | |
| 1988 | 1A | Scott Co. Central (34-0) | Walnut Grove | 78 - 53 |
| 2A | Eskridge (28-2) | Liberty (Mountain View) | 667 - 50 | |
| 3A | Central (New Madrid Co.) (25-7) | Paseo (Kansas City) | 71 - 59 | |
| 4A | Vashon (30-1) | Lee's Summit | 63 - 49 | |
| 1989 | 1A | Scott Co. Central (31-2) | Clopton | 63 - 53 |
| 2A | Licking (29-3) | Bernie | 80 - 65 | |
| 3A | Charleston (24-6) | Marshfield | 54 - 49 | |
| 4A | Rockhurst (23-7) | Vashon | 57 - 56 | |
| 1990 | 1A | Scott Co. Central (32-1) | New Franklin | 71 - 45 |
| 2A | Cardinal Ritter (28-2) | Alton | 58 - 55 | |
| 3A | Charleston (33-0) | Soldan | 67 - 47 | |
| 4A | Raytown South (31-0) | DeSmet | 66 - 47 | |
| 1991 | 1A | Scott Co. Central (33-0) | Greenwood | 56 - 48 |
| 2A | Portageville (31-0) | Bishop Hogan (Kansas City) | 73 - 51 | |
| 3A | Festus (31-1) | Nevada | 77 - 63 | |
| 4A | Parkway West (31-2) | Hickman Mills | 53 - 49 OT | |
| 1992 | 1A | Van Buren (28-5) | New Bloomfield | 68 - 60 |
| 2A | Portageville (25-5) | Cole County | 85 - 82 OT | |
| 3A | Charleston (31-2) | Eldon | 43 - 19 | |
| 4A | Riverview Gardens (31-1) | Raytown South | 68 - 62 | |
| 1993 | 1A | Scott Co. Central (27-6) | Green City | 72 - 51 |
| 2A | Portageville (31-0) | Brookfield | 63 - 41 | |
| 3A | St. Francis Borgia (28-3) | Jennings | 74 - 72 | |
| 4A | Jefferson City (22-8) | Poplar Bluff | 60 - 56 | |
| 1994 | 1A | Lockwood (30-1) | Scott County Central | 64 - 60 |
| 2A | Portageville (25-3) | Fatima | 76 - 66 | |
| 3A | St. Francis Borgia (31-1) | Mexico | 88 - 67 | |
| 4A | Vashon (27-2) | Hazelwood Central | 58 - 54 | |
| 1995 | 1A | Barstow (22-10) | Lockwood | 74 - 64 |
| 2A | Cardinal Ritter (30-3) | Skyline | 62 - 60 | |
| 3A | Mexico (28-3) | Maryville | 87 - 73 | |
| 4A | St. Charles West (30-2) | Vashon | 58 - 51 | |
| 1996 | 1A | Richland (Essex) (31-2) | Lockwood | 72 - 54 |
| 2A | Cardinal Ritter (25-6) | Hollister | 69 - 47 | |
| 3A | Charleston (31-1) | Mexico | 61 - 54 | |
| 4A | Webster Groves (29-3) | West Plains | 53 - 46 | |
| 1997 | 1A | New Haven (26-6) | Bishop Hogan (Kansas City) | 74 - 71 OT |
| 2A | East Carter (30-2) * | vacant* | - | |
| 3A | Webb City (26-4) | Chillicothe | 46 - 41 | |
| 4A | Christian Brothers (28-4) | Truman | 51 - 35 | |
| 1998 | 1A | Fordland (23-7) | Bishop Hogan (Kanas City) | 75 - 43 |
| 2A | Palmyra (26-5) * | vacant* | - | |
| 3A | St. Francis Borgia (31-1) | Chillicothe | 55 - 50 | |
| 4A | Liberty (31-0) | Lafayette (Wildwood) | 42 - 41 | |
| 1999 | 1A | New Haven (29-3) | Fordland | 48 - 46 |
| 2A | Hollister (28-3) * | vacant* | - | |
| 3A | Nixa (29-4) | St. Francis Borgia | 71 - 47 | |
| 4A | DeSmet (30-2) | Vashon | 70 - 64 | |
| 2000 | 1A | Jefferson (29-3) | Billings | 70 - 55 |
| 2A | Whitfield (30-3) | Blair Oaks | 74 - 59 | |
| 3A | Central (New Madrid Co.) (23-6) | Park Hill South | 68 - 55 | |
| 4A | Vashon (28-1) | DeSmet | 56 - 50 | |
| 2001 | 1A | New Haven (29-2) | Liberal | 45 - 26 |
| 2A | Blair Oaks (23-7) | Butler | 67 - 51 | |
| 3A | Central (New Madrid Co.) (23-7) | Hickman Mills | 48 - 47 | |
| 4A | Vashon (28-1) | vacant* | 82 - 27 | |
| 2002 | 1A | Bell City (29-5) | Santa Fe | 88 - 68 |
| 2A | Lutheran North (25-7) | Elsberry | 72 - 62 | |
| 3A | MICDS (29-3) | Central (New Madrid County) | 53 - 51 | |
| 4A | Vashon (30-1) | DeSmet | 82 - 27 | |
| 2003 | 1 | Verona (32-0) | North Shelby | 65 - 47 |
| 2 | East Center (23-7) | West Platte | 77 - 51 | |
| 3 | Cardinal Ritter (31-0) | Ash Grove | 64 - 53 | |
| 4 | Ozark (28-4) | Paseo Academy | 71 - 68 | |
| 5 | Kickapoo (30-1) | Raytown South | 65 - 42 | |
| 2004 | 1 | Bell City (29-4) | St. Elizabeth | 74 - 62 |
| 2 | Van-Far (28-3) | Marionville | 46 - 40 | |
| 3 | Centralia (29-2) | Maryville | 41 - 32 | |
| 4 | Vashon (31-0) | vacant* | 68 - 55 | |
| 5 | Poplar Bluff (25-6) | Blue Springs | 64 - 56 | |
| 2005 | 1 | North Shelby (31-1) | Jefferson | 59 - 51 |
| 2 | Marionville (27-3) | St. Vincent | 35 - 30 | |
| 3 | Lutheran North (22-10) | Charleston | 72 - 63 | |
| 4 | O'Hara (27-5) | Willard | 81 - 77 OT | |
| 5 | Poplar Bluff (27-4) | Vashon | 72 - 56 | |
| 2006 | 1 | Jefferson (32-0) | Bell City | 74 - 61 |
| 2 | Harrisburg (28-4) | Marionville | 41 - 38 | |
| 3 | Cardinal Ritter (28-3) | Charleston | 67 - 55 | |
| 4 | St. Francis Borgia (30-1) | Sikeston | 77 - 62 | |
| 5 | Vashon (27-2) | Kickapoo | 58 - 55 | |
| 2007 | 1 | Jefferson (31-1) | Bell City | 66 - 65 |
| 2 | Eskridge (17-10) | Mansfield | 64 - 54 | |
| 3 | Charleston (29-3) | Pembroke Hill | 66 - 48 | |
| 4 | Ruskin (29-1) | Notre Dame (Cape Girardeau) | 59 - 56 | |
| 5 | McCluer North (26-3) | Rockhurst | 69 - 57 | |
| 2008 | 1 | Jefferson | Glasgow | 59 - 30 |
| 2 | Harrisburg | South Iron | 51 - 44 | |
| 3 | Maplewood-Richmond Hts. | Lutheran North | 56 - 55 | |
| 4 | Notre Dame (Cape Gir.) | St. Charles West | 48 - 36 | |
| 5 | Webster Groves | McCluer North | 71 - 62 | |
| 2009 | 1 | South County Central (22-2) | Newtown-Harris | 98 - 63 |
| 2 | Portageville | Harrisburg | 60 - 55 | |
| 3 | Maplewood-Richmond Hts. | Whittfield | 73 - 55 | |
| 4 | St. Francis Borgia | Kearney | 59 - 41 | |
| 5 | Chaminade | Grandview | 80 - 70 | |
| 2010 | 1 | South County Central (32-2) | Pilot Grove | 96 - 47 |
| 2 | Sturgeon (32-0) | Bernie | 82 - 80 | |
| 3 | Cardinal Ritter (27-4) | Hogan Prep Academy Charter | 93 - 69 | |
| 4 | Kearney (31-3) | St. Francis Borgia | 47 - 43 | |
| 5 | Hillcrest (25-7) | Oakville | 54 - 49 | |
| 2011 | 1 | South County Central (29-2) | Dadeville | 69 - 54 |
| 2 | Crane (27-5) | Bernie | 77 - 63 | |
| 3 | Hogan Prep Acad. Charter (23-8) | Strafford | 61 - 46 | |
| 4 | Sikeston (30-0) | St. Francis Borgia | 74 - 55 | |
| 5 | McCluer North (29-4) | Troy Buchanan | 63 - 53 | |
| 2012 | 1 | South County Cen. (22-10) | Drexel | 79 - 72 |
| 2 | Billings (29-3) | Salisbury | 83 - 79 | |
| 3 | Charleston (31-2) | Hogan Prep Academy Charter | 79 - 73 | |
| 4 | Solden Inter. Studies (25-5) | Hillcrest | 55 - 42 | |
| 5 | McCluer North (28-1) | Nixa | 69 - 60 | |
| *=historically vaccant |
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