The effect of audiometric configuration on the auditory brain stem response was studied in a large patient sample, and wave I latencies, wave V latencies, and the I-V interwave intervals were compared to those from a previous report. Patients with notched hearing losses showed longer wave V latencies and I-V interwave intervals than those with other audiometric configurations, but the magnitude of the effect was relatively small, and the confidence limit for cochlear diagnosis was essentially the same as that based upon a cochlear hearing loss population without regard to audiometric configuration.