And it does not matter whether it's single or dual lamp ballast?
A single lamp HPF RS usually uses ballasting capacitor, so it will most likely underpower the lamp (lower voltage on top of higher ballasting impedance).
Double lamp ballasts use to be of two kinds:
One type uses just single arc current circuit ballasted by a capacitor, with both lamps powered in series. This will behave the same way as the single lamp ballast.
The other type uses capacitive ballasting for one lamp (so this will be underpowered like with the single lamp ballast), the second lamp circuit then uses inductive ballasting and that will most likely operate at full power (the lowre frequency will cause the inductive reactance to become lower, compensating out the lower voltage).
But at 230V I do not see much use to really insist on using US ballasts. You may make your own RS ballast from components designed to operate the lamps at 230V/50Hz:
You need the standard "preheat" series ballast choke, for a lead circuit a 3.4uF/450VAC motor run capacitor and then a 230V/2x4.5V transformer (with the secondaries insulated from each other).
From the mains you connect the ballasting coil in series with the capacitor (capacitor is optional) in series with the lamp (one pin from each end) and then use the 230V/2x4.5V transformer to get heating supply for the filaments.
In the US ballasts is nothing else (beside the step up transformer function for the 120V input types), only the series inductances are integrated within the step up (/down for the 277V case) transformer in the form of magnetic shunts and not as separate components.
On 230V you do not need any voltage step up/down, you need just the series inductances (hence the chokes)...