I think it really depends on the aid and the battery. My gut feeling is that if you have an analog output amp (instead of a class-D digital output amp) then you can notice the fall off. I certainly notice in mine. The DSP part is probably good to less than a volt for current technologies. There is a good online hearing test at digital-recordings.com and I like the idea of an A:B comparison suggested.
I was using the Radio Shack 10A batteries up until about a year ago when they switched brands. Now I use Costco ... not sure who makes them.
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My Aids:
2003 - Unitron Conversa - lots of features, poor audio quality. Rejected.
2003 - Sonic Natura 2se - have been happy with them, kept.
:
2012 - Unitron Moxi 6 - had basically same reaction as Conversa. Rejected.
2012 - Sonic Velocity 12 - Good sound quality, good basic no-frills aid. These are my backups! Great price.
2012 - Siemens Motion 701 CIC. Sounded just "OK". Rejected.
2012 - Starkey Wi i110 - Good, kept. (ReSound maybe better?)
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